Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,145.28 / $1,382.72	Facility		$30.00	$1,145.28	$1,382.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $1,423.05	Professional		$30.00	$45.00	$1,423.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $880.00 / $1,318.40	Professional		$544.00	$880.00	$1,318.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $960.00 / $1,350.00	Professional		$690.00	$960.00	$1,350.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.75 / $1,360.00 / $2,304.00	Professional		$330.75	$1,360.00	$2,304.00
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Facility		$960.00	$960.00	$960.00
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $880.00 / $1,520.00	Professional		$672.00	$880.00	$1,520.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $1,117.20 / $1,282.24	Facility		$48.00	$1,117.20	$1,282.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $1,008.00 / $1,433.44	Professional		$43.50	$1,008.00	$1,433.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $30.27 / $42.34	Professional		$15.00	$30.27	$42.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $975.00 / $1,350.00	Professional		$705.00	$975.00	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $56.00 / $76.16	Professional		$38.00	$56.00	$76.16