Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.81 / $4,761.00 / $8,451.00	Facility		$1,419.81	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.14 / $1,324.20 / $1,788.70	Professional		$1,228.14	$1,324.20	$1,788.70
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 $1,295.70 / $1,344.60 / $2,399.35	Professional		$1,295.70	$1,344.60	$2,399.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.48 / $1,554.48 / $2,004.54	Professional		$1,554.48	$1,554.48	$2,004.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $9,617.00	Facility		$1,151.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,243.02 / $1,489.64 / $7,032.61	Professional		$1,243.02	$1,489.64	$7,032.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,387.19 / $3,345.10	Professional		$6.00	$2,387.19	$3,345.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,173.77 / $1,271.40 / $1,271.40	Facility		$1,173.77	$1,271.40	$1,271.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,173.77 / $1,271.40 / $1,345.47	Professional		$1,173.77	$1,271.40	$1,345.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,914.00 / $8,243.00	Facility		$1,843.00	$3,914.00	$8,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.58 / $1,434.65 / $2,464.82	Professional		$1,106.58	$1,434.65	$2,464.82