Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.64 / $1,150.83 / $10,435.50	Professional		$304.64	$1,150.83	$10,435.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,011.05 / $2,656.23 / $5,197.03	Professional		$1,011.05	$2,656.23	$5,197.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.24 / $1,883.24 / $1,936.10	Professional		$1,883.24	$1,883.24	$1,936.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $1,150.83 / $10,435.50	Professional		$273.39	$1,150.83	$10,435.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $1,600.38 / $3,658.00	Professional		$273.39	$1,600.38	$3,658.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $279.06 / $2,485.67	Facility		$203.22	$279.06	$2,485.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $279.06 / $1,333.94	Professional		$203.22	$279.06	$1,333.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,740.20 / $2,677.89 / $4,174.14	Professional		$1,740.20	$2,677.89	$4,174.14