Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.79 / $2,347.17 / $4,932.68	Facility		$895.79	$2,347.17	$4,932.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.02 / $87.11 / $157.22	Facility	52	$61.02	$87.11	$157.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.84 / $96.04 / $173.17	Facility	53	$34.84	$96.04	$173.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $303.64 / $397.78	Professional		$174.22	$303.64	$397.78
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $35.04 / $77.84 / $158.78	Professional	53	$35.04	$77.84	$158.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $170.41 / $261.50	Facility		$23.82	$170.41	$261.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $227.99 / $704.82	Professional		$45.60	$227.99	$704.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $243.68 / $243.68	Facility		$243.68	$243.68	$243.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $855.94	Professional		$301.75	$301.75	$855.94
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.90 / $88.55 / $246.00	Professional	53	$41.90	$88.55	$246.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.75 / $2,682.80 / $4,629.10	Facility		$1,456.75	$2,682.80	$4,629.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $239.35 / $415.45	Professional		$225.17	$239.35	$415.45
Highmark BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $225.95 / $234.23 / $244.63	Professional	53	$225.95	$234.23	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $411.08 / $718.22	Professional		$251.51	$411.08	$718.22
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.84 / $204.84 / $204.84	Professional	53	$204.84	$204.84	$204.84