Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.95 / $465.95 / $465.95	Professional		$465.95	$465.95	$465.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $49.75 / $54.78	Facility		$49.75	$49.75	$54.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $53.44 / $54.78	Professional		$49.75	$53.44	$54.78
United Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $70.22 / $154.21	Professional		$49.80	$70.22	$154.21