Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,709.64 / $22,908.68	Facility		$1,995.26	$8,709.64	$22,908.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $8,709.64 / $39,810.72	Facility	50	$2,238.72	$8,709.64	$39,810.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $57,543.99	Facility		$8,511.38	$10,000.00	$57,543.99
Cigna 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
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	22	$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	AS	$154.88	$154.88	$154.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $15,135.61 / $32,359.37	Facility		$6,309.57	$15,135.61	$32,359.37
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $14,791.08 / $64,565.42	Facility	50	$5,128.61	$14,791.08	$64,565.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $8,511.38 / $20,892.96	Facility		$1,584.89	$8,511.38	$20,892.96
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $8,709.64 / $39,810.72	Facility	50	$2,238.72	$8,709.64	$39,810.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,995.26	Facility		$1,288.25	$1,288.25	$1,995.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $1,230.27	Facility		$891.25	$912.01	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $22,387.21	Facility		$2,951.21	$5,495.41	$22,387.21