Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $980.00 / $2,080.57	Facility		$416.78	$980.00	$2,080.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,019.20	Professional		$416.78	$416.78	$1,019.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $450.12 / $2,598.02 / $6,753.25	Facility		$450.12	$2,598.02	$6,753.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $416.78 / $416.78	Facility		$117.44	$416.78	$416.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.04 / $541.82 / $1,383.25	Facility		$279.04	$541.82	$1,383.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,008.88 / $2,008.88 / $2,008.88	Professional		$2,008.88	$2,008.88	$2,008.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.62 / $562.65 / $1,029.45	Professional		$437.62	$562.65	$1,029.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.80 / $1,013.11 / $1,520.06	Facility		$486.80	$1,013.11	$1,520.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $110.39 / $178.17	Professional		$110.39	$110.39	$178.17
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $583.49 / $5,378.77	Facility		$416.78	$583.49	$5,378.77
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $496.61 / $496.61 / $496.61	Professional		$496.61	$496.61	$496.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $437.61 / $980.00 / $1,721.30	Facility		$437.61	$980.00	$1,721.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $563.34 / $1,721.30	Professional		$416.78	$563.34	$1,721.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $2,095.11 / $2,586.23	Facility		$1,003.93	$2,095.11	$2,586.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $474.70 / $833.56	Professional		$416.78	$474.70	$833.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $279.04 / $541.82 / $1,383.25	Facility		$279.04	$541.82	$1,383.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,008.88 / $2,008.88 / $2,008.88	Professional		$2,008.88	$2,008.88	$2,008.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Facility		$416.78	$416.78	$416.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $621.41	Professional		$175.05	$250.07	$621.41