Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,370.32 / $8,511.38	Facility		$891.25	$5,370.32	$8,511.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $57,543.99	Facility		$8,511.38	$21,379.62	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,445.44	Facility		$501.19	$794.33	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	52	$1,148.15	$1,148.15	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,265.80 / $8,317.64	Facility		$891.25	$4,265.80	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,698.24	Facility		$758.58	$758.58	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $831.76	Facility		$416.87	$416.87	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57