Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $416.78 / $416.78 / $416.78	Facility	QK	$416.78	$416.78	$416.78
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $807.91 / $807.91 / $807.91	Facility	QX	$807.91	$807.91	$807.91
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $470.40 / $816.77 / $1,960.00	Professional	AA	$470.40	$816.77	$1,960.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $246.00 / $503.96 / $599.54	Professional	QZ	$246.00	$503.96	$599.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $175.52 / $420.00 / $670.99	Professional	AA	$175.52	$420.00	$670.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.35 / $140.35 / $160.40	Professional	QZ	$140.35	$140.35	$160.40
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $348.45 / $662.43 / $1,343.75	Professional	AA	$348.45	$662.43	$1,343.75
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $257.11 / $405.96 / $639.40	Professional	QZ	$257.11	$405.96	$639.40
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $416.78 / $416.78 / $416.78	Facility	QK	$416.78	$416.78	$416.78
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $807.91 / $807.91 / $807.91	Facility	QX	$807.91	$807.91	$807.91
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $475.31 / $725.20 / $1,820.00	Professional	AA	$475.31	$725.20	$1,820.00
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $246.00 / $503.96 / $599.54	Professional	QZ	$246.00	$503.96	$599.54