Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.72 / $257.85 / $765.81	Facility	26	$209.72	$257.85	$765.81
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $257.85 / $257.85 / $765.81	Facility	26	$257.85	$257.85	$765.81
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $217.34 / $217.34 / $258.91	Facility	26	$217.34	$217.34	$258.91