Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,165.95 / $8,709.64	Facility		$1,047.13	$6,165.95	$8,709.64
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 $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	AS	$338.84	$338.84	$338.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,981.07	Facility		$2,570.40	$2,570.40	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Facility		$1,949.84	$1,949.84	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $11,220.18	Facility		$3,311.31	$6,606.93	$11,220.18