Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.85 / $147.83 / $361.12	Facility	26	$112.85	$147.83	$361.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $112.85 / $204.02 / $369.02	Facility	26	$112.85	$204.02	$369.02
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $72.88 / $131.86 / $131.86	Facility	26	$72.88	$131.86	$131.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $113.32 / $113.32 / $164.00	Facility	26	$113.32	$113.32	$164.00