Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.95 / $1,864.61 / $6,171.80	Facility		$616.95	$1,864.61	$6,171.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.87 / $86.91 / $157.03	Facility	52	$60.87	$86.91	$157.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.76 / $95.60 / $172.73	Facility	53	$34.76	$95.60	$172.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $312.51 / $397.42	Professional		$173.82	$312.51	$397.42
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $34.97 / $77.58 / $158.44	Professional	53	$34.97	$77.58	$158.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $169.99 / $260.85	Facility		$23.65	$169.99	$260.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $227.34 / $703.79	Professional		$45.47	$227.34	$703.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $854.39	Professional		$301.45	$301.45	$854.39
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.90 / $88.55 / $245.51	Professional	53	$41.90	$88.55	$245.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.47 / $2,868.79 / $4,992.14	Facility		$774.47	$2,868.79	$4,992.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $233.80 / $420.60	Professional		$214.55	$233.80	$420.60
Highmark BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $250.29 / $336.74 / $344.73	Professional	53	$250.29	$336.74	$344.73
United Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $411.08 / $658.16	Professional		$250.79	$411.08	$658.16
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.61 / $204.61 / $204.61	Professional	53	$204.61	$204.61	$204.61