Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.63 / $541.51 / $912.00	Facility		$176.63	$541.51	$912.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $207.16 / $327.08	Professional		$167.52	$207.16	$327.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,013.27 / $1,350.24 / $8,459.92	Facility		$1,013.27	$1,350.24	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Professional		$170.09	$170.09	$170.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.94 / $322.14 / $637.83	Facility		$206.94	$322.14	$637.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $209.62 / $493.23	Professional		$125.00	$209.62	$493.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $294.38 / $414.31	Professional		$129.74	$294.38	$414.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.08 / $463.42 / $715.99	Facility		$417.08	$463.42	$715.99
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $259.87 / $259.87 / $259.87	Professional		$259.87	$259.87	$259.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.35 / $592.95 / $900.59	Facility		$185.35	$592.95	$900.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $250.77 / $900.59	Professional		$167.52	$250.77	$900.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $823.20 / $823.20 / $823.20	Professional		$823.20	$823.20	$823.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $212.61 / $362.78 / $723.68	Facility		$212.61	$362.78	$723.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $232.71 / $493.23	Professional		$133.88	$232.71	$493.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $272.83	Facility		$218.06	$218.06	$272.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $218.06 / $272.83	Professional		$218.06	$218.06	$272.83
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $339.11	Professional		$91.59	$130.84	$339.11