Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $57,543.99	Facility		$8,511.38	$21,379.62	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	22	$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	62	$2,884.03	$2,884.03	$2,884.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,495.41	Facility		$4,168.69	$4,168.69	$5,495.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $3,548.13	Facility		$575.44	$575.44	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $22,387.21	Facility		$2,089.30	$4,365.16	$22,387.21