Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $408.24 / $717.43	Facility		$150.19	$408.24	$717.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $146.36 / $880.00	Professional		$112.68	$146.36	$880.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,472.67 / $2,472.67 / $2,472.67	Facility		$2,472.67	$2,472.67	$2,472.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $609.05 / $811.60 / $8,459.92	Facility		$609.05	$811.60	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $111.25 / $111.25	Professional		$111.25	$111.25	$111.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $210.90 / $417.20	Facility		$135.36	$210.90	$417.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $137.22 / $262.58	Professional		$75.18	$137.22	$262.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $192.55 / $271.00	Professional		$84.86	$192.55	$271.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $372.05 / $632.00	Facility		$134.81	$372.05	$632.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,472.67 / $2,472.67 / $3,132.69	Facility		$2,472.67	$2,472.67	$3,132.69
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $170.04 / $170.04	Professional		$170.04	$170.04	$170.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $387.84 / $717.43	Facility		$133.36	$387.84	$717.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $164.87 / $609.00	Professional		$114.10	$164.87	$609.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $114.40	Professional		$114.40	$114.40	$114.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $237.29 / $473.76	Facility		$139.07	$237.29	$473.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $152.37 / $322.89	Professional		$80.45	$152.37	$322.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Facility		$164.00	$164.00	$164.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $213.95	Professional		$59.90	$85.58	$213.95