Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,370.32 / $8,912.51	Facility		$1,318.26	$5,370.32	$8,912.51
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility	22	$9,120.11	$9,120.11	$9,120.11
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 / $1,819.70	Facility		$489.78	$794.33	$1,819.70
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	22	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	52	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
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 $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,511.38	Facility		$1,047.13	$4,786.30	$8,511.38
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility	22	$9,120.11	$9,120.11	$9,120.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $2,187.76	Facility		$851.14	$977.24	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Facility		$933.25	$933.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,715.35 / $7,079.46	Facility		$1,513.56	$3,715.35	$7,079.46