Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $792.42 / $2,381.96	Facility		$98.49	$792.42	$2,381.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $669.28 / $2,088.67 / $2,716.60	Facility	50	$669.28	$2,088.67	$2,716.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $112.74 / $193.73	Professional		$86.74	$112.74	$193.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.15 / $283.35 / $287.55	Professional	50	$129.15	$283.35	$287.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $101.58 / $126.98	Facility		$84.65	$101.58	$126.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $116.11 / $237.00	Professional		$102.22	$116.11	$237.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.82 / $153.82 / $153.82	Facility		$153.82	$153.82	$153.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $159.37 / $427.20	Professional		$109.39	$159.37	$427.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $710.70 / $1,333.30	Facility		$288.08	$710.70	$1,333.30
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $576.15 / $1,421.39 / $2,174.59	Facility	50	$576.15	$1,421.39	$2,174.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $155.74 / $213.81	Professional		$109.20	$155.74	$213.81
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $233.61 / $278.00 / $337.50	Professional	50	$233.61	$278.00	$337.50
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $163.55 / $430.11	Professional		$77.95	$163.55	$430.11