Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.89 / $44.44 / $97.90	Facility	26	$33.89	$44.44	$97.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $146.07 / $478.97	Professional		$101.55	$146.07	$478.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $135.53 / $191.35	Professional		$82.41	$135.53	$191.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $163.43 / $267.77	Professional		$152.74	$163.43	$267.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $183.18 / $212.50	Professional		$110.51	$183.18	$212.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $139.16 / $221.63	Professional		$92.61	$139.16	$221.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.69 / $271.50	Professional		$125.89	$158.69	$271.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $139.24 / $172.67	Professional		$129.90	$139.24	$172.67
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $163.43 / $267.77	Professional		$151.55	$163.43	$267.77
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.51 / $183.51 / $183.51	Professional		$183.51	$183.51	$183.51
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.89 / $51.14 / $108.45	Facility	26	$33.89	$51.14	$108.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $164.86 / $356.75	Professional		$102.79	$164.86	$356.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $119.00 / $274.60	Professional		$62.99	$119.00	$274.60
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $138.94 / $217.57	Professional		$93.02	$138.94	$217.57
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $33.86 / $41.00	Facility	26	$33.86	$33.86	$41.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $112.27 / $121.41	Professional		$110.47	$112.27	$121.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $127.32 / $225.25	Professional		$91.57	$127.32	$225.25