Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $230.96 / $422.10	Facility	26	$126.00	$230.96	$422.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.68 / $189.68 / $189.68	Facility	26	$189.68	$189.68	$189.68
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $138.60 / $241.92 / $443.47	Facility	26	$138.60	$241.92	$443.47
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $108.33 / $189.68 / $189.68	Facility	26	$108.33	$189.68	$189.68
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $163.01 / $163.01 / $175.05	Facility	26	$163.01	$163.01	$175.05