Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.86 / $4,917.45 / $4,917.45	Facility		$580.86	$4,917.45	$4,917.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $559.25 / $803.24	Professional		$408.01	$559.25	$803.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.96 / $518.34 / $564.75	Facility		$475.96	$518.34	$564.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $547.84 / $695.90	Professional		$502.00	$547.84	$695.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $763.20 / $763.20	Facility		$763.20	$763.20	$763.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.83 / $585.66 / $2,145.33	Professional		$440.83	$585.66	$2,145.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.90 / $1,406.90 / $2,110.48	Facility		$1,406.90	$1,406.90	$2,110.48
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,058.27 / $8,058.27 / $12,774.27	Facility	50	$8,058.27	$8,058.27	$12,774.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.82 / $1,052.82 / $1,052.82	Professional		$1,052.82	$1,052.82	$1,052.82
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,093.06 / $1,093.06 / $1,093.06	Professional	50	$1,093.06	$1,093.06	$1,093.06
United Facility/Professional Professional Modifier Low / Median / High Price $437.00 / $653.63 / $858.58	Professional		$437.00	$653.63	$858.58