Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $60.21 / $145.91	Facility		$39.15	$60.21	$145.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $45.23 / $90.00	Professional		$38.86	$45.23	$90.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $970.73 / $970.73 / $970.73	Facility		$970.73	$970.73	$970.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $47.06	Professional		$45.23	$45.23	$47.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $45.23 / $117.44	Facility		$38.45	$45.23	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $27.56 / $43.42	Professional		$27.56	$27.56	$43.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $43.53 / $102.62	Facility		$22.96	$43.53	$102.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $33.99 / $50.75	Professional		$16.77	$33.99	$50.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $20.84 / $47.84	Professional		$16.25	$20.84	$47.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $76.03 / $123.88	Facility		$20.80	$76.03	$123.88
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $970.73 / $970.73 / $1,229.83	Facility		$970.73	$970.73	$1,229.83
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $47.06	Professional		$45.23	$45.23	$47.06
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $42.03 / $42.03	Professional		$42.03	$42.03	$42.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $75.61 / $145.91	Facility		$35.33	$75.61	$145.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $47.05 / $90.46	Professional		$35.33	$47.05	$90.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $261.55 / $270.60 / $359.79	Facility		$261.55	$270.60	$359.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $44.55 / $117.35	Facility		$22.96	$44.55	$117.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $37.00 / $45.70	Professional		$17.91	$37.00	$45.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $42.03	Facility		$35.33	$35.33	$42.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $35.33 / $42.03	Professional		$31.09	$35.33	$42.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $28.04 / $64.65	Professional		$19.00	$28.04	$64.65