Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $426.58 / $537.03	Facility		$30.20	$426.58	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $288.40 / $812.83	Professional		$30.20	$288.40	$812.83
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 $169.82 / $169.82 / $199.53	Professional		$169.82	$169.82	$199.53
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 $229.09 / $323.59 / $478.63	Professional		$229.09	$323.59	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $1,071.52	Professional		$169.82	$436.52	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $446.68	Professional		$346.74	$446.68	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $338.84	Professional		$245.47	$245.47	$338.84
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $371.54	Professional		$208.93	$275.42	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $537.03	Facility		$239.88	$426.58	$537.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $407.38 / $691.83	Professional		$41.69	$407.38	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $33.11	Professional		$5.01	$5.01	$33.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.58 / $21.38	Facility		$1.41	$1.58	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.58 / $21.38	Professional		$1.41	$1.58	$21.38