Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,606.93 / $9,772.37	Facility		$1,584.89	$6,606.93	$9,772.37
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 $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	AS	$281.84	$281.84	$281.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,772.37	Facility		$1,122.02	$5,370.32	$9,772.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,311.31	Facility		$2,089.30	$2,089.30	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,778.28	Facility		$1,621.81	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $53,703.18	Facility		$3,311.31	$8,128.31	$53,703.18