Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $214.74 / $262.62	Facility		$30.00	$214.74	$262.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $332.00	Professional		$30.00	$60.00	$332.00
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 $68.00 / $80.00 / $80.00	Professional		$68.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $128.00 / $180.00	Professional		$92.00	$128.00	$180.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $183.58 / $268.00	Professional		$96.00	$183.58	$268.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $135.32 / $292.14	Professional		$94.40	$135.32	$292.14
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $110.00 / $190.00	Professional		$84.00	$110.00	$190.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $214.74 / $251.37	Facility		$120.00	$214.74	$251.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $177.00 / $290.00	Professional		$42.00	$177.00	$290.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $130.00	Professional		$2.00	$2.00	$130.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $130.00 / $180.00	Professional		$94.00	$130.00	$180.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Facility		$8.55	$8.55	$8.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55