Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $223.87	Facility		$51.29	$125.89	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $117.49	Facility		$35.48	$41.69	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Professional		$39.81	$39.81	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $70.79 / $173.78	Facility		$33.11	$70.79	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $74.13	Professional		$23.99	$30.20	$74.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $89.13	Professional		$31.62	$43.65	$89.13
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $223.87	Facility		$51.29	$123.03	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $144.54	Professional		$41.69	$41.69	$144.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $41.69 / $51.29	Facility		$14.13	$41.69	$51.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $45.71 / $72.44	Professional		$14.13	$45.71	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $51.29 / $61.66	Facility		$28.18	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $63.10	Professional		$17.78	$28.18	$63.10