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 / $3,548.13	Facility		$501.19	$794.33	$3,548.13
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility	22	$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
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 $1,778.28 / $2,089.30 / $4,265.80	Facility		$1,778.28	$2,089.30	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,041.74	Facility		$1,949.84	$1,949.84	$2,041.74
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