Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $1,412.54	Facility		$114.82	$128.82	$1,412.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $1,737.80 / $1,737.80	Facility	50	$426.58	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $229.09	Professional		$107.15	$131.83	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $1,380.38 / $1,380.38	Professional	50	$69.18	$1,380.38	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $141.25	Facility		$120.23	$120.23	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $194.98 / $194.98	Facility		$34.67	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $660.69	Professional		$102.33	$144.54	$660.69
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	50	$1,412.54	$1,412.54	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $891.25	Facility		$457.09	$457.09	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $199.53	Professional		$87.10	$123.03	$199.53