Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $478.63 / $776.25	Facility	26	$199.53	$478.63	$776.25
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $389.05 / $741.31	Facility	26	$199.53	$389.05	$741.31
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80