Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.25 / $1,077.79 / $1,822.99	Facility		$354.25	$1,077.79	$1,822.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $475.51 / $2,563.19	Professional		$329.26	$475.51	$2,563.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,720.41 / $3,720.41 / $3,720.41	Facility		$3,720.41	$3,720.41	$3,720.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,978.77 / $2,636.82 / $8,459.92	Facility		$1,978.77	$2,636.82	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $325.08 / $325.08	Professional		$325.08	$325.08	$325.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $615.77 / $1,219.09	Facility		$395.53	$615.77	$1,219.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $400.67 / $852.18	Professional		$244.00	$400.67	$852.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $562.65 / $791.88	Professional		$247.99	$562.65	$791.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.64 / $979.97 / $1,938.04	Facility		$461.64	$979.97	$1,938.04
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,720.41 / $3,720.41 / $4,713.46	Facility		$3,720.41	$3,720.41	$4,713.46
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $496.61 / $496.61 / $496.61	Professional		$496.61	$496.61	$496.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $354.26 / $1,058.61 / $1,842.75	Facility		$354.26	$1,058.61	$1,842.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $535.66 / $1,721.30	Professional		$329.26	$535.66	$1,721.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $2,284.42 / $2,842.96	Facility		$1,003.93	$2,284.42	$2,842.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $333.60 / $333.60 / $333.60	Professional		$333.60	$333.60	$333.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $406.37 / $693.39 / $1,383.25	Facility		$406.37	$693.39	$1,383.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $261.55 / $445.16 / $942.76	Professional		$261.55	$445.16	$942.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $532.80 / $532.80 / $532.80	Facility		$532.80	$532.80	$532.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $532.80 / $532.80 / $532.80	Professional		$532.80	$532.80	$532.80
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $641.66	Professional		$175.05	$250.07	$641.66