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 $108.07 / $410.80 / $700.00	Professional	AA	$108.07	$410.80	$700.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $83.26 / $177.16 / $362.01	Professional	QX	$83.26	$177.16	$362.01
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $191.62 / $191.62 / $191.62	Professional	QY	$191.62	$191.62	$191.62
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.25 / $100.25 / $120.30	Professional	QZ	$100.25	$100.25	$120.30
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 $270.39 / $376.08 / $446.56	Professional	AA	$270.39	$376.08	$446.56
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $318.01 / $381.16 / $507.45	Professional	QX	$318.01	$381.16	$507.45
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $218.55 / $218.55 / $218.55	Professional	QY	$218.55	$218.55	$218.55
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $177.60 / $335.81 / $385.67	Professional	QZ	$177.60	$335.81	$385.67
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 $108.07 / $410.80 / $700.00	Professional	AA	$108.07	$410.80	$700.00
Martin's Point Facility/Professional Professional Modifier QX Low / Median / High Price $83.26 / $177.16 / $220.55	Professional	QX	$83.26	$177.16	$220.55
Martin's Point Facility/Professional Professional Modifier QY Low / Median / High Price $191.62 / $191.62 / $191.62	Professional	QY	$191.62	$191.62	$191.62