Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.32 / $135.38 / $279.42	Facility	26	$87.32	$135.38	$279.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Facility	26	$102.86	$102.86	$102.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $87.32 / $163.29 / $285.54	Facility	26	$87.32	$163.29	$285.54
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $102.86 / $102.86	Facility	26	$54.52	$102.86	$102.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $87.84 / $87.84 / $89.00	Facility	26	$87.84	$87.84	$89.00