Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $23,988.33	Facility		$1,778.28	$7,762.47	$23,988.33
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility	62	$9,549.93	$9,549.93	$9,549.93
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 $489.78 / $794.33 / $2,630.27	Facility		$489.78	$794.33	$2,630.27
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	22	$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $21,379.62 / $38,904.51	Facility		$9,549.93	$21,379.62	$38,904.51
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $45,708.82 / $45,708.82 / $67,608.30	Facility	22	$45,708.82	$45,708.82	$67,608.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,244.36 / $23,988.33	Facility		$1,548.82	$7,244.36	$23,988.33
Martin's Point Facility/Professional Facility Modifier 62 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility	62	$9,549.93	$9,549.93	$9,549.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,090.30	Facility		$1,659.59	$1,659.59	$3,090.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,513.56	Facility		$691.83	$691.83	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,011.87 / $30,902.95	Facility		$1,905.46	$5,011.87	$30,902.95