Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $1,458.73 / $2,206.42	Facility		$416.78	$1,458.73	$2,206.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
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 $400.11 / $416.78 / $416.78	Professional		$400.11	$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 $532.10 / $1,052.35 / $2,014.45	Facility		$532.10	$1,052.35	$2,014.45
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 $416.78 / $1,204.49 / $1,775.48	Facility		$416.78	$1,204.49	$1,775.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,721.30	Professional		$416.78	$416.78	$1,721.30
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 / $762.71	Professional		$175.05	$250.07	$762.71