Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
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 $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,786.30 / $8,317.64	Facility		$831.76	$4,786.30	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,202.26	Facility		$977.24	$977.24	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $812.83	Facility		$309.03	$575.44	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $10,471.29	Facility		$2,454.71	$5,128.61	$10,471.29