Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,623.41 / $8,511.38	Facility		$1,047.13	$5,623.41	$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 $501.19 / $794.33 / $2,344.23	Facility		$501.19	$794.33	$2,344.23
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	22	$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	AS	$234.42	$234.42	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,000.00 / $2,754.23	Facility		$870.96	$1,000.00	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,318.26	Facility		$1,230.27	$1,318.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $11,220.18	Facility		$1,288.25	$3,630.78	$11,220.18