Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $92.40 / $256.55	Facility		$51.31	$92.40	$256.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $337.39 / $906.95	Facility		$28.09	$337.39	$906.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $51.31 / $117.44	Facility		$43.61	$51.31	$117.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $40.02 / $40.02	Professional		$40.02	$40.02	$40.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $68.31 / $170.60	Facility		$34.35	$68.31	$170.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $247.31 / $247.31	Professional		$247.31	$247.31	$247.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $69.27 / $126.74	Professional		$53.88	$69.27	$126.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $130.85 / $238.59	Facility		$92.48	$130.85	$238.59
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $71.47 / $722.36	Facility		$51.31	$71.47	$722.36
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 $51.31 / $66.70 / $211.91	Facility		$51.31	$66.70	$211.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $211.91	Professional		$51.31	$51.31	$211.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $877.95 / $1,106.72	Facility		$819.61	$877.95	$1,106.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $58.40 / $102.62	Professional		$51.30	$58.40	$102.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $68.31 / $170.60	Facility		$34.35	$68.31	$170.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $247.31 / $247.31	Professional		$247.31	$247.31	$247.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Facility		$51.33	$51.33	$51.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $76.97	Professional		$21.55	$30.79	$76.97