Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,778.28 / $2,041.74	Facility		$234.42	$1,778.28	$2,041.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	50	$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $851.14	Professional		$223.87	$371.54	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $660.69 / $1,862.09	Professional	50	$660.69	$660.69	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $346.74	Facility		$218.78	$251.19	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $512.86	Professional		$213.80	$245.47	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $354.81	Facility		$34.67	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $2,511.89	Professional		$208.93	$457.09	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $398.11	Professional		$204.17	$363.08	$398.11
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	50	$588.84	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,548.82	Facility		$691.83	$691.83	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $776.25	Professional		$363.08	$478.63	$776.25