Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,025.60 / $10,715.19	Facility		$1,412.54	$6,025.60	$10,715.19
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 $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	22	$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	AS	$234.42	$234.42	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $12,882.50 / $23,988.33	Facility		$6,025.60	$12,882.50	$23,988.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,248.07 / $10,715.19	Facility		$1,148.15	$5,248.07	$10,715.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,754.23	Facility		$1,862.09	$1,862.09	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,698.24	Facility		$831.76	$831.76	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $22,387.21	Facility		$1,659.59	$3,548.13	$22,387.21