Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.01 / $107.46 / $162.97	Facility	26	$96.01	$107.46	$162.97
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $87.62 / $131.80 / $212.77	Facility	26	$87.62	$131.80	$212.77
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $91.04 / $91.04 / $91.04	Facility	26	$91.04	$91.04	$91.04