Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $255.73 / $314.70 / $623.12	Facility	26	$255.73	$314.70	$623.12
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $314.70 / $314.70 / $623.12	Facility	26	$314.70	$314.70	$623.12
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $264.38 / $264.38 / $264.38	Facility	26	$264.38	$264.38	$264.38