Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $903.34 / $1,362.06	Facility		$10.34	$903.34	$1,362.06
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.09 / $229.09 / $245.85	Facility	54	$229.09	$229.09	$245.85
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $45.82 / $45.82 / $49.17	Facility	55	$45.82	$45.82	$49.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.56 / $327.80 / $622.16	Professional		$267.56	$327.80	$622.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $214.04 / $245.85 / $406.52	Professional	54	$214.04	$245.85	$406.52
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.81 / $49.17 / $81.30	Professional	55	$42.81	$49.17	$81.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.70 / $332.05 / $415.07	Facility		$276.70	$332.05	$415.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $334.88 / $683.58	Professional		$294.83	$334.88	$683.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.88 / $507.88 / $507.88	Facility		$507.88	$507.88	$507.88
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.52 / $355.52 / $355.52	Facility	54	$355.52	$355.52	$355.52
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $76.18 / $76.18 / $76.18	Facility	55	$76.18	$76.18	$76.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $368.27 / $1,440.60	Professional		$264.27	$368.27	$1,440.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.48 / $940.57 / $2,125.71	Facility		$481.48	$940.57	$2,125.71
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,881.14 / $1,881.14 / $1,881.14	Facility	50	$1,881.14	$1,881.14	$1,881.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.10 / $464.25 / $712.47	Professional		$408.10	$464.25	$712.47
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $670.47 / $707.92 / $1,093.08	Professional	50	$670.47	$707.92	$1,093.08
Highmark BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $322.85 / $529.29 / $582.22	Professional	54	$322.85	$529.29	$582.22
United Facility/Professional Professional Modifier Low / Median / High Price $227.57 / $318.58 / $471.73	Professional		$227.57	$318.58	$471.73