Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $163.75 / $400.00	Facility	26	$125.00	$163.75	$400.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.88 / $80.88 / $80.88	Facility	26	$80.88	$80.88	$80.88
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $181.25 / $408.75	Facility	26	$125.00	$181.25	$408.75
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.88 / $80.88 / $80.88	Facility	26	$80.88	$80.88	$80.88
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $69.20 / $69.20 / $83.14	Facility	26	$69.20	$69.20	$83.14