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 / $5,248.07	Facility		$501.19	$794.33	$5,248.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	22	$6,309.57	$6,309.57	$6,309.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	62	$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
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 $3,019.95 / $3,467.37 / $6,309.57	Facility		$3,019.95	$3,467.37	$6,309.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	62	$2,951.21	$2,951.21	$2,951.21
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