Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $35.27 / $61.61	Facility		$21.61	$35.27	$61.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $33.40 / $63.95	Professional		$20.61	$33.40	$63.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $38.84 / $41.57	Professional		$36.00	$38.84	$41.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $42.81 / $71.44	Professional		$40.46	$42.81	$71.44
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 $37.75 / $55.27 / $71.83	Professional		$37.75	$55.27	$71.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $37.40 / $62.31	Professional		$23.30	$37.40	$62.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.97 / $50.97 / $50.97	Facility		$50.97	$50.97	$50.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $57.24 / $77.86	Professional		$44.39	$57.24	$77.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $41.62 / $49.25	Professional		$39.52	$41.62	$49.25
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $43.24 / $71.44	Professional		$40.46	$43.24	$71.44
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $42.22 / $42.22	Facility		$42.22	$42.22	$42.22
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $42.22 / $42.22	Professional		$42.22	$42.22	$42.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $34.19 / $65.79	Facility		$21.61	$34.19	$65.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $36.19 / $74.37	Professional		$22.08	$36.19	$74.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Facility		$26.00	$26.00	$26.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $32.74 / $79.59	Professional		$26.00	$32.74	$79.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $42.19	Facility		$31.39	$31.39	$42.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.54 / $63.58	Professional		$23.44	$37.54	$63.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $33.27 / $40.78	Facility		$33.27	$33.27	$40.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $33.27 / $36.84	Professional		$33.27	$33.27	$36.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $43.21 / $73.05	Professional		$33.54	$43.21	$73.05