Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.40 / $3,212.30 / $3,441.98	Professional		$820.40	$3,212.30	$3,441.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $817.12 / $1,190.03	Professional		$547.91	$817.12	$1,190.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $946.13 / $946.13 / $999.50	Professional		$946.13	$946.13	$999.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $802.22 / $1,027.17 / $3,212.30	Professional		$802.22	$1,027.17	$3,212.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,153.70 / $1,539.10	Professional		$3.00	$1,153.70	$1,539.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $607.87 / $607.87 / $761.13	Facility		$607.87	$607.87	$761.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $580.19 / $615.66 / $761.13	Professional		$580.19	$615.66	$761.13
United Facility/Professional Professional Modifier Low / Median / High Price $594.19 / $838.59 / $1,260.07	Professional		$594.19	$838.59	$1,260.07