Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,606.93 / $12,022.64	Facility		$1,380.38	$6,606.93	$12,022.64
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 $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	AS	$208.93	$208.93	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $11,220.18	Facility		$1,148.15	$5,370.32	$11,220.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,511.89	Facility		$1,905.46	$1,905.46	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,513.56	Facility		$1,202.26	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $22,387.21	Facility		$2,089.30	$4,365.16	$22,387.21