Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.53 / $1,666.91 / $6,746.85	Professional		$469.53	$1,666.91	$6,746.85
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 $862.65 / $1,706.33 / $3,019.88	Professional		$862.65	$1,706.33	$3,019.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,622.32	Professional		$1,590.54	$1,590.54	$1,622.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $415.56 / $1,344.81 / $6,746.85	Professional		$415.56	$1,344.81	$6,746.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $1,291.67 / $2,870.80	Professional		$380.60	$1,291.67	$2,870.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $327.95 / $1,416.59	Facility		$309.87	$327.95	$1,416.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $327.95 / $1,086.97	Professional		$309.87	$327.95	$1,086.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.56 / $1,619.32 / $2,448.03	Professional		$1,159.56	$1,619.32	$2,448.03