Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,606.93 / $24,547.09	Facility		$1,659.59	$6,606.93	$24,547.09
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 $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	22	$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	52	$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	AS	$295.12	$295.12	$295.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,715.19 / $41,686.94	Facility		$3,630.78	$10,715.19	$41,686.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,754.40 / $19,498.45	Facility		$1,380.38	$5,754.40	$19,498.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,548.13	Facility		$2,041.74	$2,041.74	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Facility		$1,621.81	$1,621.81	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $39,810.72	Facility		$2,454.71	$5,495.41	$39,810.72