Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $104.06 / $223.04	Facility		$42.13	$104.06	$223.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $47.80	Professional		$42.13	$42.13	$47.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $42.13 / $117.44	Facility		$35.81	$42.13	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $40.44	Professional		$32.86	$32.86	$40.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $52.00 / $122.37	Facility		$27.38	$52.00	$122.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $48.40 / $66.67	Professional		$20.04	$48.40	$66.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.86 / $57.04	Professional		$19.38	$24.86	$57.04
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 $42.13 / $104.06 / $179.47	Facility		$42.13	$104.06	$179.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $174.00	Professional		$42.13	$42.13	$174.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $53.13 / $140.16	Facility		$27.38	$53.13	$140.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $48.40 / $60.50	Professional		$20.04	$48.40	$60.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $42.13 / $42.13	Professional		$37.07	$42.13	$42.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $71.62	Professional		$17.69	$25.28	$71.62