Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.25 / $68.43 / $164.00	Facility	26	$51.25	$68.43	$164.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	26	$60.17	$60.17	$60.17
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $51.25 / $95.84 / $167.59	Facility	26	$51.25	$95.84	$167.59
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.20 / $60.17 / $60.17	Facility	26	$38.20	$60.17	$60.17
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $51.91 / $51.91 / $62.50	Facility	26	$51.91	$51.91	$62.50