Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $501.19 / $1,862.09	Facility		$190.55	$501.19	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $208.93	Professional		$190.55	$190.55	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $190.55	Professional		$162.18	$162.18	$190.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $251.19	Facility		$169.82	$204.17	$251.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $190.55	Professional		$162.18	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $331.13	Professional		$288.40	$331.13	$331.13
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $501.19 / $1,862.09	Facility		$190.55	$501.19	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $323.59	Professional		$190.55	$190.55	$323.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $223.87 / $223.87	Facility		$0.02	$223.87	$223.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $223.87	Professional		$0.02	$0.02	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Facility		$169.82	$169.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $251.19	Professional		$169.82	$204.17	$251.19