Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $357.90 / $432.10	Facility		$30.00	$357.90	$432.10
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $529.29	Professional	AA	$146.21	$146.21	$529.29
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.25 / $100.25 / $100.25	Professional	QZ	$100.25	$100.25	$100.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $280.80 / $348.46 / $409.35	Professional	AA	$280.80	$348.46	$409.35
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $318.01 / $345.07 / $466.86	Professional	QX	$318.01	$345.07	$466.86
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $237.60 / $331.54 / $446.56	Professional	QZ	$237.60	$331.54	$446.56
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $325.00 / $400.70	Facility		$48.00	$325.00	$400.70
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $529.29	Professional	AA	$146.21	$146.21	$529.29