Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $142.40 / $223.04	Facility		$42.13	$142.40	$223.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $42.13 / $117.44	Facility		$35.81	$42.13	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.44	Professional		$40.11	$40.11	$40.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $63.29 / $149.41	Facility		$33.43	$63.29	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $30.34 / $69.64	Professional		$23.66	$30.34	$69.64
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $61.31	Professional		$61.31	$61.31	$61.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $121.76 / $223.04	Facility		$46.34	$121.76	$223.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $212.41	Professional		$42.13	$42.13	$212.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $64.98 / $170.60	Facility		$33.43	$64.98	$170.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $51.43 / $51.43	Facility		$42.13	$51.43	$51.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $51.43 / $51.43	Professional		$42.13	$51.43	$51.43
United Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Facility		$17.73	$17.73	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $28.29 / $84.79	Professional		$17.69	$28.29	$84.79