Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $117.49 / $223.87	Facility		$42.66	$117.49	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $117.49	Facility		$36.31	$42.66	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $42.66	Professional		$39.81	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $144.54	Facility		$27.54	$57.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $61.66	Professional		$19.95	$25.12	$61.66
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $74.13	Professional		$31.62	$36.31	$74.13
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $104.71 / $223.87	Facility		$42.66	$104.71	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $147.91	Professional		$41.69	$41.69	$147.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $72.44	Professional		$39.81	$42.66	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $51.29	Facility		$23.44	$42.66	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $63.10	Professional		$17.78	$25.12	$63.10