Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $363.08 / $758.58	Facility		$134.90	$363.08	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $630.96	Professional		$95.50	$141.25	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $141.25	Professional		$35.48	$70.79	$141.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $5,011.87	Facility		$645.65	$851.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $288.40	Professional		$112.20	$112.20	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $489.78	Facility		$138.04	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $263.03	Professional		$75.86	$134.90	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $269.15	Professional		$100.00	$186.21	$269.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $331.13	Professional		$131.83	$199.53	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $691.83	Facility		$234.42	$363.08	$691.83
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $363.08 / $758.58	Facility		$125.89	$363.08	$758.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $478.63	Professional		$102.33	$151.36	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $107.15 / $363.08	Facility		$102.33	$107.15	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $416.87	Professional		$102.33	$107.15	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Facility		$141.25	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $199.53	Professional		$60.26	$85.11	$199.53