Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $400.00	Facility	26	$125.00	$125.00	$400.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.01 / $90.01 / $90.01	Facility	26	$90.01	$90.01	$90.01
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $172.50 / $408.75	Facility	26	$125.00	$172.50	$408.75
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $90.01 / $90.01 / $90.01	Facility	26	$90.01	$90.01	$90.01
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $77.92 / $77.92 / $92.62	Facility	26	$77.92	$77.92	$92.62