Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.97 / $4,846.14 / $5,063.22	Professional		$1,246.97	$4,846.14	$5,063.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $832.80 / $1,254.27 / $1,820.39	Professional		$832.80	$1,254.27	$1,820.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.23 / $1,413.23 / $1,513.89	Professional		$1,413.23	$1,413.23	$1,513.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,212.58 / $1,641.75 / $4,846.14	Professional		$1,212.58	$1,641.75	$4,846.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,718.00 / $2,303.80	Professional		$10.00	$1,718.00	$2,303.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $926.24 / $926.24 / $1,105.54	Facility		$926.24	$926.24	$1,105.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $879.09 / $944.76 / $1,105.54	Professional		$879.09	$944.76	$1,105.54
United Facility/Professional Professional Modifier Low / Median / High Price $943.95 / $1,248.34 / $1,949.74	Professional		$943.95	$1,248.34	$1,949.74