Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $10,964.78	Facility		$1,412.54	$6,165.95	$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 $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
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 $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $87,096.36 / $87,096.36	Facility		$87,096.36	$87,096.36	$87,096.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,772.37	Facility		$1,122.02	$5,370.32	$9,772.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,570.40	Facility		$1,698.24	$1,698.24	$2,570.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,412.54	Facility		$1,258.93	$1,412.54	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	62	$1,348.96	$1,348.96	$1,348.96
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