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
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 $1,737.80 / $1,737.80 / $2,398.83	Facility		$1,737.80	$1,737.80	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,445.44	Facility		$1,174.90	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83