Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,754.40 / $8,511.38	Facility		$1,230.27	$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 / $2,137.96	Facility		$501.19	$794.33	$2,137.96
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	52	$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	AS	$213.80	$213.80	$213.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,511.38	Facility		$1,023.29	$4,265.80	$8,511.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,511.89	Facility		$1,174.90	$1,380.38	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Facility		$1,202.26	$1,202.26	$1,288.25
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