Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $143.16 / $175.08	Facility		$30.00	$143.16	$175.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $159.00	Professional		$30.00	$48.00	$159.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $40.00 / $40.00	Professional		$34.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $64.00 / $90.00	Professional		$46.00	$64.00	$90.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $104.20 / $146.88	Professional		$81.09	$104.20	$146.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $51.09 / $80.81	Professional		$47.20	$51.09	$80.81
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.00 / $95.00	Professional		$42.00	$55.00	$95.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $143.16 / $167.58	Facility		$74.48	$143.16	$167.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $104.00 / $162.00	Professional		$36.00	$104.00	$162.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $138.40	Professional		$1.00	$1.00	$138.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $65.00 / $90.00	Professional		$47.00	$65.00	$90.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26