Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $429.48 / $525.24	Facility		$30.00	$429.48	$525.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $518.40	Professional		$30.00	$45.00	$518.40
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 $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $320.00 / $450.00	Professional		$230.00	$320.00	$450.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $506.45 / $734.40	Professional		$300.00	$506.45	$734.40
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $275.00 / $475.00	Professional		$210.00	$275.00	$475.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $429.48 / $502.74	Facility		$240.00	$429.48	$502.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $372.00 / $518.40	Professional		$45.00	$372.00	$518.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $33.00	Professional		$5.00	$5.00	$33.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $325.00 / $450.00	Professional		$235.00	$325.00	$450.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $21.37	Facility		$21.37	$21.37	$21.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $21.37	Professional		$21.37	$21.37	$21.37