Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,606.93 / $10,964.78	Facility		$1,412.54	$6,606.93	$10,964.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	62	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $12,022.64 / $47,863.01	Facility		$1,202.26	$12,022.64	$47,863.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,370.32 / $10,964.78	Facility		$1,202.26	$5,370.32	$10,964.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,630.27	Facility		$1,698.24	$1,698.24	$2,630.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Facility		$1,288.25	$1,513.56	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	62	$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $53,703.18	Facility		$3,311.31	$8,128.31	$53,703.18