Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $21.47 / $316.39	Facility		$11.62	$21.47	$316.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $193.35 / $405.62	Professional		$119.83	$193.35	$405.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $203.18 / $211.64	Professional		$177.90	$203.18	$211.64
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 $220.47 / $338.33 / $493.25	Professional		$220.47	$338.33	$493.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $241.87 / $371.23	Professional		$179.87	$241.87	$371.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $389.09 / $389.09 / $389.09	Facility		$389.09	$389.09	$389.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $306.33 / $427.73	Professional		$239.11	$306.33	$427.73
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $326.91 / $326.91	Facility		$326.91	$326.91	$326.91
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $274.94 / $326.91	Professional		$274.94	$274.94	$326.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $21.47 / $354.67	Facility		$10.74	$21.47	$354.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $215.35 / $487.02	Professional		$21.97	$215.35	$487.02
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $229.15 / $282.06	Professional		$105.00	$229.15	$282.06
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $230.20 / $230.20 / $230.20	Facility		$230.20	$230.20	$230.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.09 / $264.10 / $459.80	Professional		$223.09	$264.10	$459.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $223.43 / $240.39 / $240.39	Facility		$223.43	$240.39	$240.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $241.87 / $373.57	Professional		$180.62	$241.87	$373.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $248.51	Facility		$210.83	$210.83	$248.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $248.51 / $248.51	Professional		$189.00	$248.51	$248.51
United Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $242.98 / $438.53	Professional		$190.60	$242.98	$438.53