Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $173.35 / $403.20	Facility	26	$126.00	$173.35	$403.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $230.58 / $412.02	Facility	26	$126.00	$230.58	$412.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $108.00 / $117.58 / $117.58	Facility	26	$108.00	$117.58	$117.58