Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $501.19 / $616.60	Facility		$30.20	$501.19	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $741.31	Professional		$30.20	$57.54	$741.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $537.03	Professional		$239.88	$338.84	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $575.44	Professional		$275.42	$389.05	$575.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $575.44 / $1,000.00	Professional		$131.83	$575.44	$1,000.00
Johns Hopkins Employer Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $524.81	Professional		$295.12	$389.05	$524.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $457.09 / $588.84	Facility		$47.86	$457.09	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $489.78 / $794.33	Professional		$41.69	$489.78	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $22.39 / $81.28	Professional		$6.03	$22.39	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $79.43	Professional		$39.81	$57.54	$79.43