Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $520.00 / $1,881.46	Facility		$30.00	$520.00	$1,881.46
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $451.45 / $721.95 / $856.00	Facility	QK	$451.45	$721.95	$856.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $227.30 / $1,250.17 / $4,962.89	Facility	QX	$227.30	$1,250.17	$4,962.89
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $498.91 / $744.25 / $1,067.07	Facility	QY	$498.91	$744.25	$1,067.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Highmark BCBS Facility/Professional Facility Modifier QZ Low / Median / High Price $61.92 / $61.92 / $61.92	Facility	QZ	$61.92	$61.92	$61.92
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $521.36 / $1,881.46	Facility		$48.00	$521.36	$1,881.46
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $451.45 / $721.95 / $856.00	Facility	QK	$451.45	$721.95	$856.00
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $227.30 / $1,250.17 / $4,962.89	Facility	QX	$227.30	$1,250.17	$4,962.89
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $498.91 / $744.25 / $1,067.07	Facility	QY	$498.91	$744.25	$1,067.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,596.94 / $9,628.84 / $11,978.56	Facility		$5,596.94	$9,628.84	$11,978.56