Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $117.49 / $295.12	Facility	26	$107.15	$117.49	$295.12
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $158.49 / $295.12	Facility	26	$107.15	$158.49	$295.12
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $151.36	Facility	26	$79.43	$79.43	$151.36