Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,786.30 / $8,709.64	Facility		$1,071.52	$4,786.30	$8,709.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $8,317.64	Facility		$1,023.29	$3,890.45	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,041.74	Facility		$1,412.54	$1,412.54	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,071.52	Facility		$467.74	$467.74	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $21,877.62	Facility		$2,089.30	$3,981.07	$21,877.62