Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $9,549.93 / $37,153.52	Facility		$2,137.96	$9,549.93	$37,153.52
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $14,791.08 / $16,595.87 / $43,651.58	Facility	22	$14,791.08	$16,595.87	$43,651.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,118.86 / $46,773.51	Facility		$9,549.93	$25,118.86	$46,773.51
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $45,708.82 / $45,708.82 / $45,708.82	Facility	22	$45,708.82	$45,708.82	$45,708.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $9,120.11 / $34,673.69	Facility		$1,819.70	$9,120.11	$34,673.69
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $14,791.08 / $16,595.87 / $43,651.58	Facility	22	$14,791.08	$16,595.87	$43,651.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,454.71	Facility		$1,174.90	$1,174.90	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,513.56	Facility		$1,202.26	$1,348.96	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $33,113.11	Facility		$2,454.71	$5,495.41	$33,113.11