Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $8,317.64	Facility		$1,096.48	$4,786.30	$8,317.64
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 $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,584.89	Facility		$870.96	$870.96	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $758.58	Facility		$478.63	$478.63	$758.58
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