Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $171.69 / $557.62	Facility		$79.61	$171.69	$557.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $119.29	Professional		$105.33	$105.33	$119.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $105.33 / $117.44	Facility		$89.53	$105.33	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $73.09 / $106.02	Facility		$51.75	$73.09	$106.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $114.35	Professional		$91.48	$91.48	$114.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $62.14 / $107.79	Professional		$48.45	$62.14	$107.79
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $94.85 / $94.85	Professional		$94.85	$94.85	$94.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $159.22 / $557.62	Facility		$79.61	$159.22	$557.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $105.33 / $158.00	Professional		$79.61	$105.33	$158.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $73.09 / $123.17	Facility		$42.19	$73.09	$123.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $114.35	Professional		$91.48	$91.48	$114.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $105.33 / $105.33	Professional		$92.69	$105.33	$105.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $63.23 / $145.69	Professional		$44.24	$63.23	$145.69