Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $19,952.62	Facility		$1,584.89	$6,918.31	$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 $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	22	$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	52	$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $12,022.64 / $47,863.01	Facility		$10,471.29	$12,022.64	$47,863.01
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 $2,290.87 / $2,290.87 / $3,090.30	Facility		$2,290.87	$2,290.87	$3,090.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $1,995.26	Facility		$1,479.11	$1,995.26	$1,995.26
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