Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.42 / $310.47 / $368.67	Professional		$263.42	$310.47	$368.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.95 / $465.95 / $597.99	Professional		$465.95	$465.95	$597.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.42 / $336.09 / $4,831.00	Professional		$263.42	$336.09	$4,831.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $341.65 / $341.65 / $376.19	Facility		$341.65	$341.65	$376.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $329.29 / $348.48 / $376.19	Professional		$329.29	$348.48	$376.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,000.00 / $12,076.00	Facility		$3,340.00	$7,000.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.18 / $420.17 / $659.63	Professional		$311.18	$420.17	$659.63