Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $2,187.76	Facility		$416.87	$1,047.13	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $416.87 / $416.87	Facility		$117.49	$416.87	$416.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $416.87	Professional		$389.05	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $630.96 / $1,412.54	Facility		$281.84	$630.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $912.01	Professional		$436.52	$562.34	$912.01
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $794.33	Professional		$309.03	$478.63	$794.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,995.26	Facility		$323.59	$1,047.13	$1,995.26
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $933.25 / $2,187.76	Facility		$416.87	$933.25	$2,187.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,445.44	Professional		$416.87	$416.87	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $741.31	Professional		$416.87	$416.87	$741.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $416.87 / $588.84	Facility		$85.11	$416.87	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $446.68 / $588.84	Professional		$85.11	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Facility		$416.87	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $562.34	Professional		$173.78	$251.19	$562.34