Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.62 / $102.00 / $204.58	Facility	26	$58.62	$102.00	$204.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.38 / $68.38 / $68.38	Facility	26	$68.38	$68.38	$68.38
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $58.62 / $110.42 / $231.55	Facility	26	$58.62	$110.42	$231.55
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.38 / $68.38 / $68.38	Facility	26	$68.38	$68.38	$68.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $56.37 / $58.83 / $58.83	Facility	26	$56.37	$58.83	$58.83