Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $73.31 / $223.04	Facility		$42.13	$73.31	$223.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $54.62	Professional		$42.13	$42.13	$54.62
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 $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $33.43 / $68.48	Facility		$29.00	$33.43	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.86 / $69.64	Professional		$19.38	$24.86	$69.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.06 / $156.06 / $156.06	Facility		$156.06	$156.06	$156.06
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $61.31	Professional		$61.31	$61.31	$61.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $80.05 / $223.04	Facility		$42.13	$80.05	$223.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $86.06	Professional		$42.13	$42.13	$86.06
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $34.43 / $79.61	Facility		$27.26	$34.43	$79.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
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 / $25.33 / $72.83	Professional		$17.69	$25.33	$72.83