Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $52.68 / $90.99	Facility		$14.65	$52.68	$90.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $15.38 / $24.84	Professional		$11.59	$15.38	$24.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Professional		$18.09	$18.09	$18.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $84.81 / $8,639.91	Facility		$65.31	$84.81	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Professional		$14.11	$14.11	$14.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $23.52 / $59.76	Facility		$11.89	$23.52	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $20.28 / $26.88	Professional		$8.49	$20.28	$26.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $10.67 / $24.49	Professional		$3.79	$10.67	$24.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $46.09 / $77.16	Facility		$36.31	$46.09	$77.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $12.62 / $13.58	Professional		$11.94	$12.62	$13.58
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $21.59 / $21.59	Professional		$21.59	$21.59	$21.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $52.68 / $95.55	Facility		$15.38	$52.68	$95.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $17.03 / $74.70	Professional		$11.59	$17.03	$74.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $24.09 / $59.76	Facility		$11.92	$24.09	$59.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $20.28 / $25.97	Professional		$8.08	$20.28	$25.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $18.43	Professional		$18.43	$18.43	$18.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $15.29 / $30.78	Professional		$10.85	$15.29	$30.78