Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.16 / $5,366.46 / $5,366.46	Facility		$678.16	$5,366.46	$5,366.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $135.63 / $135.63 / $135.63	Facility	53	$135.63	$135.63	$135.63
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $508.62 / $508.62 / $508.62	Facility	54	$508.62	$508.62	$508.62
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $101.72 / $101.72 / $101.72	Facility	55	$101.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $678.16 / $1,189.51	Professional		$584.94	$678.16	$1,189.51
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $86.62 / $101.72 / $178.43	Professional	55	$86.62	$101.72	$178.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.90 / $765.80 / $834.35	Facility		$703.90	$765.80	$834.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $648.01 / $701.99 / $829.62	Professional		$648.01	$701.99	$829.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.80 / $756.80 / $756.80	Facility		$756.80	$756.80	$756.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $151.22 / $151.22 / $151.22	Facility	53	$151.22	$151.22	$151.22
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $529.26 / $529.26 / $529.26	Facility	54	$529.26	$529.26	$529.26
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	55	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.76 / $865.25 / $3,164.96	Professional		$611.76	$865.25	$3,164.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,685.77 / $6,685.77 / $6,777.41	Facility		$6,685.77	$6,685.77	$6,777.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.21 / $937.21 / $937.21	Professional		$937.21	$937.21	$937.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.44 / $813.76 / $1,226.82	Professional		$534.44	$813.76	$1,226.82