Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.80 / $81.20 / $202.09	Facility	26	$61.80	$81.20	$202.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.19 / $72.19 / $72.19	Facility	26	$72.19	$72.19	$72.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $61.80 / $113.09 / $202.09	Facility	26	$61.80	$113.09	$202.09
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $72.19 / $72.19 / $72.19	Facility	26	$72.19	$72.19	$72.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $62.73 / $62.73 / $65.50	Facility	26	$62.73	$62.73	$65.50