Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $123.03 / $239.88	Facility		$45.71	$123.03	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $56.23	Professional		$44.67	$44.67	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $22.39	Professional		$18.20	$19.05	$22.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $117.49	Facility		$38.02	$45.71	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $45.71	Professional		$35.48	$35.48	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $131.83	Facility		$43.65	$67.61	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $67.61	Professional		$21.38	$34.67	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $66.07	Professional		$21.38	$26.92	$66.07
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $79.43	Professional		$33.88	$38.90	$79.43
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $112.20 / $239.88	Facility		$45.71	$112.20	$239.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $125.89	Professional		$44.67	$44.67	$125.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $588.84	Facility		$45.71	$45.71	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $114.82 / $588.84	Professional		$39.81	$114.82	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $54.95	Facility		$25.12	$45.71	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $56.23	Professional		$26.92	$45.71	$56.23