Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $83.18	Professional		$22.91	$37.15	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $31.62	Professional		$22.91	$29.51	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $79.43	Professional		$22.91	$34.67	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $109.65	Facility		$97.72	$109.65	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $407.38	Professional		$97.72	$109.65	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $74.13 / $125.89	Professional		$18.62	$74.13	$125.89