Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $28,183.83	Facility		$1,949.84	$7,244.36	$28,183.83
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 $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	22	$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	62	$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	AS	$309.03	$309.03	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $41,686.94 / $123,026.88	Facility		$3,467.37	$41,686.94	$123,026.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,456.54 / $23,988.33	Facility		$1,584.89	$6,456.54	$23,988.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,715.35	Facility		$2,041.74	$2,041.74	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,778.28	Facility		$1,698.24	$1,698.24	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,511.38 / $83,176.38	Facility		$3,890.45	$8,511.38	$83,176.38