Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,584.89	Facility		$1,096.48	$1,096.48	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $933.25	Facility		$588.84	$588.84	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21