Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $4,897.79 / $4,897.79	Facility		$457.09	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $870.96	Professional		$426.58	$562.34	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $562.34	Facility		$478.63	$478.63	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,862.09	Facility		$758.58	$758.58	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $3,388.44	Professional		$416.87	$588.84	$3,388.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $8,128.31 / $12,882.50	Facility	50	$8,128.31	$8,128.31	$12,882.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional	50	$1,096.48	$1,096.48	$1,096.48
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 $380.19 / $562.34 / $891.25	Professional		$380.19	$562.34	$891.25