Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.12 / $70.37 / $169.98	Facility	26	$53.12	$70.37	$169.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.16 / $62.16 / $62.16	Facility	26	$62.16	$62.16	$62.16
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $53.12 / $99.33 / $173.70	Facility	26	$53.12	$99.33	$173.70
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.94 / $62.16 / $62.16	Facility	26	$38.94	$62.16	$62.16
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $54.01 / $54.01 / $59.82	Facility	26	$54.01	$54.01	$59.82