Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.24 / $150.80 / $403.20	Facility	26	$114.24	$150.80	$403.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.76 / $93.76 / $93.76	Facility	26	$93.76	$93.76	$93.76
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $114.24 / $165.06 / $412.02	Facility	26	$114.24	$165.06	$412.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $56.88 / $93.76 / $93.76	Facility	26	$56.88	$93.76	$93.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $81.30 / $81.30 / $89.00	Facility	26	$81.30	$81.30	$89.00