Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,079.46 / $19,952.62	Facility		$1,412.54	$7,079.46	$19,952.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility	50	$37,153.52	$37,153.52	$37,153.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	22	$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,848.93 / $28,840.32	Facility		$5,623.41	$15,848.93	$28,840.32
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $18,620.87 / $31,622.78 / $57,543.99	Facility	22	$18,620.87	$31,622.78	$57,543.99
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Facility	50	$27,542.29	$27,542.29	$27,542.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,606.93 / $19,952.62	Facility		$1,202.26	$6,606.93	$19,952.62
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility	50	$37,153.52	$37,153.52	$37,153.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $11,748.98 / $14,791.08	Facility		$870.96	$11,748.98	$14,791.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,023.29	Facility		$933.25	$933.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21