Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,760.83 / $11,220.18	Facility		$1,412.54	$6,760.83	$11,220.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	AS	$107.15	$107.15	$107.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $15,135.61 / $23,988.33	Facility		$4,365.16	$15,135.61	$23,988.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $10,964.78	Facility		$1,047.13	$5,754.40	$10,964.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Facility		$1,023.29	$1,023.29	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,000.00	Facility		$467.74	$691.83	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $22,387.21	Facility		$2,344.23	$4,466.84	$22,387.21