Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $111.00 / $242.93	Facility		$10.01	$111.00	$242.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $156.38 / $363.58	Professional		$97.00	$156.38	$363.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $157.44 / $207.17	Professional		$126.69	$157.44	$207.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $174.66 / $380.02	Professional		$168.64	$174.66	$380.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $191.60 / $299.81	Professional		$137.05	$191.60	$299.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $290.58 / $290.58	Facility		$290.58	$290.58	$290.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $235.96 / $327.60	Professional		$183.92	$235.96	$327.60
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $268.70 / $268.70 / $268.70	Facility		$268.70	$268.70	$268.70
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $222.40 / $268.70	Professional		$222.40	$222.40	$268.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $17.59 / $280.60	Facility		$9.52	$17.59	$280.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $173.26 / $402.66	Professional		$17.89	$173.26	$402.66
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $177.80 / $231.51	Professional		$105.00	$177.80	$231.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $139.30 / $770.40 / $770.40	Facility		$139.30	$770.40	$770.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $203.50 / $376.70	Professional		$139.30	$203.50	$376.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $178.68 / $178.68	Facility		$172.84	$178.68	$178.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $191.48 / $300.27	Professional		$138.16	$191.48	$300.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.30 / $169.30 / $199.65	Facility		$169.30	$169.30	$199.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $199.65 / $199.65	Professional		$139.32	$199.65	$199.65
United Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $200.74 / $344.44	Professional		$156.34	$200.74	$344.44