Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.92 / $153.02	Facility		$35.90	$35.92	$153.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $44.90	Professional		$35.92	$35.92	$44.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $35.92 / $117.44	Facility		$30.53	$35.92	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $47.84 / $119.53	Facility		$24.05	$47.84	$119.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $173.13 / $173.13	Professional		$173.13	$173.13	$173.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $48.49 / $88.72	Professional		$37.72	$48.49	$88.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $60.81 / $71.55	Facility		$60.81	$60.81	$71.55
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69,999.30 / $69,999.30 / $69,999.30	Professional		$69,999.30	$69,999.30	$69,999.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.92 / $148.35	Facility		$35.90	$35.92	$148.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $148.35	Professional		$35.92	$35.92	$148.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $40.90 / $71.84	Professional		$35.90	$40.90	$71.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $47.84 / $119.53	Facility		$24.05	$47.84	$119.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $173.13 / $173.13	Professional		$173.13	$173.13	$173.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Facility		$35.92	$35.92	$35.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
United Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Facility		$15.09	$15.09	$15.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $21.55 / $47.96	Professional		$15.09	$21.55	$47.96