Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,165.95 / $10,000.00	Facility		$1,380.38	$6,165.95	$10,000.00
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 $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	AS	$165.96	$165.96	$165.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $10,000.00	Facility		$1,047.13	$5,370.32	$10,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,995.26	Facility		$912.01	$912.01	$1,995.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $954.99	Facility		$724.44	$851.14	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21