Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,244.36 / $23,988.33	Facility		$1,737.80	$7,244.36	$23,988.33
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility	62	$17,378.01	$17,378.01	$17,378.01
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 / $2,951.21	Facility		$489.78	$794.33	$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 62 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	62	$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	AS	$295.12	$295.12	$295.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $25,118.86 / $53,703.18	Facility		$13,182.57	$25,118.86	$53,703.18
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $50,118.72 / $50,118.72 / $50,118.72	Facility	22	$50,118.72	$50,118.72	$50,118.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $23,988.33	Facility		$1,412.54	$6,165.95	$23,988.33
Martin's Point Facility/Professional Facility Modifier 62 Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility	62	$17,378.01	$17,378.01	$17,378.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,467.37	Facility		$1,949.84	$1,949.84	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $5,011.87	Facility		$1,621.81	$1,698.24	$5,011.87
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