Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $282.72 / $352.39	Professional		$122.50	$282.72	$352.39
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 $47.10 / $67.14 / $107.78	Professional		$47.10	$67.14	$107.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $86.32 / $92.97	Professional		$86.32	$86.32	$92.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $104.13 / $282.72	Professional		$70.45	$104.13	$282.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $140.80 / $525.79	Professional		$107.60	$140.80	$525.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $49.84 / $320.68	Facility		$49.84	$49.84	$320.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $49.84 / $320.68	Professional		$48.90	$49.84	$320.68
United Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $87.82 / $286.00	Professional		$53.71	$87.82	$286.00