Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$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 / $2,691.53	Facility		$501.19	$794.33	$2,691.53
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	22	$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	AS	$269.15	$269.15	$269.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
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 $1,778.28 / $1,778.28 / $3,162.28	Facility		$1,778.28	$1,778.28	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,548.82	Facility		$1,513.56	$1,513.56	$1,548.82
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