Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $6,316.00 / $12,354.18	Facility		$454.87	$6,316.00	$12,354.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.04 / $619.80 / $646.78	Professional		$567.04	$619.80	$646.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $283.52 / $305.68 / $323.39	Professional	52	$283.52	$305.68	$323.39
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $425.28 / $464.86 / $485.09	Professional	54	$425.28	$464.86	$485.09
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $85.06 / $91.70 / $97.02	Professional	55	$85.06	$91.70	$97.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.00 / $1,221.00 / $1,221.00	Facility		$1,221.00	$1,221.00	$1,221.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.58 / $625.02 / $902.11	Professional		$489.58	$625.02	$902.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,763.02 / $5,400.08 / $10,292.11	Facility		$3,763.02	$5,400.08	$10,292.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.90 / $903.90 / $903.90	Professional		$903.90	$903.90	$903.90
Highmark BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $105.82 / $105.82 / $105.82	Professional	55	$105.82	$105.82	$105.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.58 / $617.30 / $1,222.84	Professional		$460.58	$617.30	$1,222.84