Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $16,982.44	Facility		$3,162.28	$8,511.38	$16,982.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,912.51 / $57,543.99	Facility		$8,709.64	$8,912.51	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,073.80 / $8,128.31	Facility		$1,230.27	$4,073.80	$8,128.31
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	52	$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $13,182.57 / $25,118.86	Facility		$5,248.07	$13,182.57	$25,118.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $8,317.64 / $16,982.44	Facility		$1,584.89	$8,317.64	$16,982.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,495.41 / $9,549.93	Facility		$851.14	$5,495.41	$9,549.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $933.25	Facility		$707.95	$870.96	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $17,782.79	Facility		$1,819.70	$5,623.41	$17,782.79