Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $247.32 / $247.32 / $247.32	Facility	QX	$247.32	$247.32	$247.32
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $107.43 / $840.00 / $1,260.00	Professional	AA	$107.43	$840.00	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $499.49 / $499.49 / $499.49	Professional	QZ	$499.49	$499.49	$499.49
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $345.07 / $473.62 / $1,034.58	Professional	AA	$345.07	$473.62	$1,034.58
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $304.47 / $304.47 / $304.47	Professional	QZ	$304.47	$304.47	$304.47
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $247.32 / $247.32 / $247.32	Facility	QX	$247.32	$247.32	$247.32
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $111.49 / $596.29 / $1,120.00	Professional	AA	$111.49	$596.29	$1,120.00
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $499.49 / $499.49 / $499.49	Professional	QZ	$499.49	$499.49	$499.49