Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,165.95 / $10,471.29	Facility		$1,513.56	$6,165.95	$10,471.29
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 $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	AS	$251.19	$251.19	$251.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,019.95	Facility		$1,862.09	$1,862.09	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Facility		$1,380.38	$1,380.38	$1,445.44
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