Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $165.06 / $403.20	Facility	26	$126.00	$165.06	$403.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.94 / $114.94 / $114.94	Facility	26	$114.94	$114.94	$114.94
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $186.65 / $412.02	Facility	26	$126.00	$186.65	$412.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.94 / $114.94 / $114.94	Facility	26	$114.94	$114.94	$114.94
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $99.21 / $99.21 / $112.02	Facility	26	$99.21	$99.21	$112.02