Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $432.00 / $437.10	Facility		$305.00	$432.00	$437.10
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $392.00 / $559.09 / $732.38	Professional	AA	$392.00	$559.09	$732.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $65.06 / $254.13 / $380.00	Professional	QX	$65.06	$254.13	$380.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $113.29 / $533.66 / $692.07	Professional	QZ	$113.29	$533.66	$692.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $91.31 / $213.05	Facility		$22.83	$91.31	$213.05
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $759.57 / $759.57 / $768.83	Professional	AA	$759.57	$759.57	$768.83
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $364.92 / $500.50 / $703.99	Professional	QX	$364.92	$500.50	$703.99
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $304.10 / $315.80 / $387.92	Professional	QY	$304.10	$315.80	$387.92
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $321.64 / $341.43 / $725.60	Professional	QZ	$321.64	$341.43	$725.60