Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.89 / $202.72 / $202.72	Facility	26	$164.89	$202.72	$202.72
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $202.72 / $202.72 / $202.72	Facility	26	$202.72	$202.72	$202.72
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $170.00 / $170.00 / $170.00	Facility	26	$170.00	$170.00	$170.00