Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
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 $1,288.25 / $1,288.25 / $2,344.23	Facility		$1,288.25	$1,288.25	$2,344.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,148.15	Facility		$1,122.02	$1,122.02	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $8,912.51	Facility		$1,659.59	$3,548.13	$8,912.51