Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.39 / $167.32 / $359.08	Facility		$112.39	$167.32	$359.08
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $284.82 / $285.76 / $359.08	Facility	25	$284.82	$285.76	$359.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $199.34 / $417.23	Professional		$113.78	$199.34	$417.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $195.24 / $353.48 / $421.27	Professional	25	$195.24	$353.48	$421.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.03 / $130.71 / $196.07	Facility		$98.03	$130.71	$196.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $310.91 / $436.88	Professional		$154.05	$310.91	$436.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.75 / $185.75 / $185.75	Facility		$185.75	$185.75	$185.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $199.59 / $647.04	Professional		$135.76	$199.59	$647.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.91 / $165.55 / $464.10	Facility		$129.91	$165.55	$464.10
Highmark BCBS Facility/Professional Facility Modifier 25 Low / Median / High Price $228.75 / $382.00 / $541.66	Facility	25	$228.75	$382.00	$541.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $152.83 / $200.51	Professional		$139.78	$152.83	$200.51
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $229.05 / $229.05 / $229.05	Professional	25	$229.05	$229.05	$229.05
United Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $216.05 / $305.30	Professional		$139.87	$216.05	$305.30