Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $1,258.93 / $2,137.96	Professional	AA	$537.03	$1,258.93	$2,137.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $457.09	Professional	AA	$389.05	$389.05	$457.09
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $316.23 / $467.74	Professional	AA	$141.25	$316.23	$467.74
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $741.31 / $1,348.96	Professional	AA	$467.74	$741.31	$1,348.96
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $1,318.26 / $2,238.72	Professional	AA	$549.54	$1,318.26	$2,238.72