Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $87.42 / $243.93	Facility		$51.31	$87.42	$243.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $94.07	Professional		$51.31	$56.44	$94.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $51.31 / $51.31	Professional		$25.66	$51.31	$51.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $59.08 / $715.68	Facility		$23.95	$59.08	$715.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $51.31 / $152.06	Professional		$43.61	$51.31	$152.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $51.31 / $117.44	Facility		$43.61	$51.31	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $40.02 / $40.02	Professional		$40.02	$40.02	$40.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $70.44 / $149.05	Facility		$34.35	$70.44	$149.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $42.34 / $81.14	Professional		$26.55	$42.34	$81.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $69.27 / $97.49	Professional		$30.53	$69.27	$97.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $124.34 / $245.00	Facility		$60.00	$124.34	$245.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $74.36	Professional		$64.28	$64.28	$74.36
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $57.40 / $127.26	Facility		$28.09	$57.40	$127.26
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $51.31 / $152.06	Professional		$43.61	$51.31	$152.06
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $61.31	Professional		$61.31	$61.31	$61.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $87.42 / $230.51	Facility		$51.31	$87.42	$230.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $60.00 / $142.63	Professional		$51.31	$60.00	$142.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.93 / $1,409.29 / $1,727.53	Facility		$1,003.93	$1,409.29	$1,727.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $53.90 / $91.59	Professional		$49.92	$53.90	$91.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $77.87 / $170.60	Facility		$50.03	$77.87	$170.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $43.33 / $84.31	Professional		$27.08	$43.33	$84.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Facility		$51.33	$51.33	$51.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $87.30	Professional		$30.79	$51.31	$87.30