Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $107.12 / $495.08	Facility		$107.12	$107.12	$495.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $103.40 / $114.00	Professional		$90.04	$103.40	$114.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $45.39 / $218.32	Professional		$45.39	$45.39	$218.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $491.91 / $495.08	Facility		$107.12	$491.91	$495.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $103.40 / $118.38	Professional		$90.04	$103.40	$118.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.61 / $148.61 / $177.20	Facility		$148.61	$148.61	$177.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $151.58 / $177.20	Professional		$33.52	$151.58	$177.20
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $204.23 / $319.81	Professional		$148.53	$204.23	$319.81