Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $61.00 / $165.26	Facility		$41.38	$61.00	$165.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $41.38 / $62.07	Professional		$35.50	$41.38	$62.07
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $48.73 / $490.15	Facility		$20.32	$48.73	$490.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $43.05 / $211.20	Professional		$41.38	$43.05	$211.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $41.38 / $117.44	Facility		$35.17	$41.38	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $32.28 / $32.28	Professional		$32.28	$32.28	$32.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $53.80 / $136.91	Facility		$27.71	$53.80	$136.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $33.97 / $65.12	Professional		$21.30	$33.97	$65.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $55.86 / $78.62	Professional		$24.62	$55.86	$78.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $114.35 / $148.72	Facility		$72.00	$114.35	$148.72
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $48.58 / $108.03	Facility		$23.85	$48.58	$108.03
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $43.05 / $72.55	Professional		$41.38	$43.05	$72.55
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $49.35 / $49.35	Professional		$49.35	$49.35	$49.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $72.00 / $170.90	Facility		$41.38	$72.00	$170.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $45.93 / $170.90	Professional		$41.38	$45.93	$170.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $898.47 / $1,130.33	Facility		$819.61	$898.47	$1,130.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $47.10 / $82.76	Professional		$41.40	$47.10	$82.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $53.80 / $136.91	Facility		$27.71	$53.80	$136.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $34.88 / $67.66	Professional		$21.80	$34.88	$67.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Professional		$41.38	$41.38	$41.38
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $41.38 / $61.21	Professional		$24.83	$41.38	$61.21