Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,943.28 / $21,379.62	Facility		$1,584.89	$7,943.28	$21,379.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $13,489.63 / $13,489.63 / $14,125.38	Facility	22	$13,489.63	$13,489.63	$14,125.38
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 / $1,905.46	Facility		$489.78	$794.33	$1,905.46
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $17,782.79	Facility		$3,715.35	$9,120.11	$17,782.79
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility	22	$14,454.40	$14,454.40	$14,454.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,244.36 / $21,379.62	Facility		$1,288.25	$7,244.36	$21,379.62
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $13,489.63 / $13,489.63 / $14,125.38	Facility	22	$13,489.63	$13,489.63	$14,125.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,238.72	Facility		$1,445.44	$1,445.44	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,318.26	Facility		$851.14	$851.14	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,786.30 / $8,709.64	Facility		$1,905.46	$4,786.30	$8,709.64