Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$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 $501.19 / $794.33 / $3,019.95	Facility		$501.19	$794.33	$3,019.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	22	$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	52	$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $3,548.13	Facility		$1,412.54	$1,621.81	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,737.80	Facility		$1,621.81	$1,621.81	$1,737.80
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