Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,248.07 / $6,606.93	Facility		$645.65	$5,248.07	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,258.93	Professional		$549.54	$741.31	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional	50	$2,041.74	$2,041.74	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $724.44	Facility		$616.60	$616.60	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $2,511.89	Facility		$977.24	$977.24	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $4,786.30	Professional		$537.03	$758.58	$4,786.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $5,370.32 / $12,882.50	Facility	50	$2,691.53	$5,370.32	$12,882.50
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $2,089.30	Professional	50	$1,412.54	$1,412.54	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $6,606.93	Facility		$2,454.71	$2,454.71	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,122.02	Professional		$457.09	$645.65	$1,122.02