Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $30.20	Facility		$21.38	$21.38	$30.20
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $588.84 / $812.83	Professional	AA	$338.84	$588.84	$812.83
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $162.18 / $338.84 / $501.19	Professional	QK	$162.18	$338.84	$501.19
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $239.88 / $346.74 / $512.86	Professional	QX	$239.88	$346.74	$512.86
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $309.03 / $416.87	Professional	QY	$251.19	$309.03	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $562.34 / $676.08	Professional	QZ	$478.63	$562.34	$676.08
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $380.19 / $1,380.38 / $1,659.59	Professional	AA	$380.19	$1,380.38	$1,659.59
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $323.59 / $660.69 / $1,819.70	Professional	QK	$323.59	$660.69	$1,819.70
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $338.84 / $407.38 / $1,513.56	Professional	QX	$338.84	$407.38	$1,513.56
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $331.13 / $645.65 / $1,698.24	Professional	QY	$331.13	$645.65	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $537.03 / $707.95	Professional	QZ	$275.42	$537.03	$707.95