Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,079.46 / $19,952.62	Facility		$1,513.56	$7,079.46	$19,952.62
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 $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	22	$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	52	$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	AS	$251.19	$251.19	$251.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,964.78 / $14,125.38	Facility		$7,585.78	$10,964.78	$14,125.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,754.40 / $13,182.57	Facility		$1,288.25	$5,754.40	$13,182.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,951.21	Facility		$2,187.76	$2,187.76	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Facility		$1,445.44	$1,445.44	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $39,810.72	Facility		$3,311.31	$8,128.31	$39,810.72