Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $144.54 / $177.83	Facility		$30.20	$144.54	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $190.55	Professional		$30.20	$85.11	$190.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $95.50	Professional		$46.77	$64.57	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $89.13	Professional		$70.79	$89.13	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $79.43	Professional		$46.77	$46.77	$79.43
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $75.86	Professional		$41.69	$54.95	$75.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $177.83	Facility		$74.13	$144.54	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $120.23 / $213.80	Professional		$36.31	$120.23	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $138.04	Professional		$1.00	$1.00	$138.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $5.01 / $5.37	Facility		$2.51	$5.01	$5.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $5.01 / $8.32	Professional		$2.51	$5.01	$8.32