Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.86 / $1,924.17 / $2,071.33	Professional		$859.86	$1,924.17	$2,071.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.73 / $490.04 / $706.65	Professional		$323.73	$490.04	$706.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $527.92 / $527.92 / $586.62	Professional		$527.92	$527.92	$586.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $475.51 / $730.88 / $1,924.17	Professional		$475.51	$730.88	$1,924.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.10 / $672.40 / $918.40	Professional		$503.10	$672.40	$918.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $360.64 / $360.64 / $492.37	Facility		$360.64	$360.64	$492.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $367.29 / $492.37	Professional		$344.83	$367.29	$492.37
United Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $493.08 / $793.14	Professional		$386.77	$493.08	$793.14