Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $195.05 / $235.57 / $290.02	Facility	26	$195.05	$235.57	$290.02
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $195.05 / $235.57 / $579.29	Facility	26	$195.05	$235.57	$579.29
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $163.96 / $163.96 / $220.00	Facility	26	$163.96	$163.96	$220.00