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 $407.38 / $501.19 / $870.96	Facility		$407.38	$501.19	$870.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	52	$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	AS	$40.74	$40.74	$40.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $478.63	Facility		$295.12	$346.74	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $295.12	Facility		$234.42	$295.12	$295.12
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