Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $142.91 / $223.83	Facility		$42.28	$142.91	$223.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $47.80	Professional		$42.28	$42.28	$47.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $42.28 / $117.44	Facility		$35.94	$42.28	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $52.00 / $122.82	Facility		$27.48	$52.00	$122.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $60.71	Professional		$48.57	$48.57	$60.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $24.95 / $57.25	Professional		$19.45	$24.95	$57.25
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $50.51 / $50.51	Professional		$50.51	$50.51	$50.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $122.19 / $223.83	Facility		$42.28	$122.19	$223.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $174.62	Professional		$42.28	$42.28	$174.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $53.54 / $140.16	Facility		$27.48	$53.54	$140.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $60.71	Professional		$48.57	$48.57	$60.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $42.28 / $42.28	Professional		$37.21	$42.28	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $25.37 / $71.88	Professional		$17.76	$25.37	$71.88