Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $92.82 / $303.51	Facility		$56.74	$92.82	$303.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $207.37	Professional		$73.48	$73.48	$207.37
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $501.03 / $501.03 / $501.03	Facility		$501.03	$501.03	$501.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $76.45 / $128.84	Professional		$73.48	$76.45	$128.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $73.48 / $117.44	Facility		$62.47	$73.48	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $54.83 / $54.83	Professional		$54.83	$54.83	$54.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $84.53 / $141.63	Facility		$47.06	$84.53	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $39.04 / $338.80	Professional		$36.96	$39.04	$338.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $94.89 / $133.55	Professional		$41.82	$94.89	$133.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $160.26 / $266.86	Facility		$105.73	$160.26	$266.86
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $501.03 / $501.03 / $634.76	Facility		$501.03	$501.03	$634.76
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $76.45 / $128.84	Professional		$73.48	$76.45	$128.84
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $83.67 / $83.67	Professional		$83.67	$83.67	$83.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $148.88 / $303.51	Facility		$65.28	$148.88	$303.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $80.83 / $245.46	Professional		$70.00	$80.83	$245.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.87 / $279.39 / $374.00	Facility		$269.87	$279.39	$374.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $83.70 / $140.58	Professional		$73.50	$83.70	$140.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $91.38 / $155.41	Facility		$47.06	$91.38	$155.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $39.04 / $338.80	Professional		$36.96	$39.04	$338.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Facility		$30.94	$30.94	$30.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Professional		$30.94	$30.94	$30.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $44.09 / $102.89	Professional		$30.87	$44.09	$102.89