Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.18 / $125.00 / $400.00	Facility	26	$111.18	$125.00	$400.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.69 / $85.69 / $85.69	Facility	26	$85.69	$85.69	$85.69
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $111.18 / $162.50 / $408.75	Facility	26	$111.18	$162.50	$408.75
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.69 / $85.69 / $85.69	Facility	26	$85.69	$85.69	$85.69
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $73.63 / $73.63 / $87.92	Facility	26	$73.63	$73.63	$87.92