Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,511.38 / $26,302.68	Facility		$1,905.46	$8,511.38	$26,302.68
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility	22	$29,512.09	$29,512.09	$29,512.09
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 $501.19 / $794.33 / $2,951.21	Facility		$501.19	$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 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 $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $12,302.69 / $23,988.33	Facility		$5,128.61	$12,302.69	$23,988.33
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $8,317.64 / $8,317.64 / $33,884.42	Facility	22	$8,317.64	$8,317.64	$33,884.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $8,317.64 / $24,547.09	Facility		$1,584.89	$8,317.64	$24,547.09
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility	22	$29,512.09	$29,512.09	$29,512.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,467.37	Facility		$2,630.27	$2,630.27	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,698.24	Facility		$537.03	$537.03	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,786.30 / $7,413.10	Facility		$1,905.46	$4,786.30	$7,413.10