Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $224.32 / $403.20	Facility	26	$126.00	$224.32	$403.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $138.60 / $235.62 / $412.02	Facility	26	$138.60	$235.62	$412.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $97.99 / $172.08 / $172.08	Facility	26	$97.99	$172.08	$172.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $155.86 / $155.86 / $158.52	Facility	26	$155.86	$155.86	$158.52