Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.39 / $84.65 / $202.85	Facility	26	$63.39	$84.65	$202.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $74.83	Facility	26	$74.83	$74.83	$74.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $63.39 / $118.54 / $207.29	Facility	26	$63.39	$118.54	$207.29
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.02 / $74.83 / $74.83	Facility	26	$47.02	$74.83	$74.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $64.83 / $64.83 / $72.15	Facility	26	$64.83	$64.83	$72.15