Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $20,892.96	Facility		$1,584.89	$6,918.31	$20,892.96
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 $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,623.41 / $11,481.54	Facility		$1,174.90	$5,623.41	$11,481.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Facility		$1,548.82	$1,548.82	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,348.96	Facility		$1,096.48	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $39,810.72	Facility		$2,454.71	$5,495.41	$39,810.72