Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $9,549.93	Facility		$1,445.44	$6,025.60	$9,549.93
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 $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,128.61 / $9,549.93	Facility		$1,122.02	$5,128.61	$9,549.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,311.31	Facility		$2,041.74	$2,041.74	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
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