Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.18 / $268.89 / $268.89	Facility	26	$219.18	$268.89	$268.89
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $268.89 / $268.89 / $268.89	Facility	26	$268.89	$268.89	$268.89
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $226.38 / $226.38 / $242.97	Facility	26	$226.38	$226.38	$242.97