Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,549.93	Facility		$1,288.25	$6,165.95	$9,549.93
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 $489.78 / $794.33 / $1,905.46	Facility		$489.78	$794.33	$1,905.46
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,549.93	Facility		$1,122.02	$5,370.32	$9,549.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,290.87	Facility		$912.01	$1,047.13	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,096.48	Facility		$295.12	$295.12	$1,096.48
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