Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $8,317.64	Facility		$1,096.48	$4,786.30	$8,317.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Facility		$1,258.93	$1,258.93	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,698.24	Facility		$467.74	$1,000.00	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $18,197.01	Facility		$1,348.96	$3,548.13	$18,197.01