Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $812.83 / $1,258.93	Professional	AA	$616.60	$812.83	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $602.56 / $812.83 / $1,122.02	Professional	QZ	$602.56	$812.83	$1,122.02
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 $1,174.90 / $1,174.90 / $1,174.90	Professional	AA	$1,174.90	$1,174.90	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $512.86 / $691.83 / $891.25	Professional	QZ	$512.86	$691.83	$891.25