Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $954.99 / $2,041.74 / $3,388.44	Professional	AA	$954.99	$2,041.74	$3,388.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $398.11 / $758.58 / $1,318.26	Professional	QX	$398.11	$758.58	$1,318.26
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $426.58 / $870.96 / $1,412.54	Professional	QY	$426.58	$870.96	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $645.65 / $2,089.30 / $3,467.37	Professional	QZ	$645.65	$2,089.30	$3,467.37
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	AA	$912.01	$912.01	$912.01
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $107.15 / $245.47 / $707.95	Professional	QX	$107.15	$245.47	$707.95
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	QY	$257.04	$257.04	$257.04
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $186.21 / $186.21 / $707.95	Professional	QZ	$186.21	$186.21	$707.95
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
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $512.86 / $1,023.29 / $1,819.70	Professional	AA	$512.86	$1,023.29	$1,819.70
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $1,047.13 / $1,698.24	Professional	QX	$380.19	$1,047.13	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $281.84 / $776.25 / $1,122.02	Professional	QY	$281.84	$776.25	$1,122.02
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $776.25 / $1,380.38	Professional	QZ	$288.40	$776.25	$1,380.38