Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $432.00 / $460.46	Facility		$245.00	$432.00	$460.46
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $557.74 / $557.74 / $557.74	Facility	QZ	$557.74	$557.74	$557.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $465.08 / $523.22 / $689.32	Professional	AA	$465.08	$523.22	$689.32
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $241.92 / $297.18 / $355.50	Professional	QK	$241.92	$297.18	$355.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $147.50 / $285.00 / $348.81	Professional	QX	$147.50	$285.00	$348.81
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $224.48 / $266.83 / $548.14	Professional	QY	$224.48	$266.83	$548.14
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $432.02 / $533.66 / $631.17	Professional	QZ	$432.02	$533.66	$631.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $91.31 / $213.05	Facility		$22.83	$91.31	$213.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.15 / $429.15 / $429.15	Facility		$429.15	$429.15	$429.15
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $605.47 / $722.52 / $759.57	Professional	AA	$605.47	$722.52	$759.57
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $374.27 / $485.30 / $709.26	Professional	QK	$374.27	$485.30	$709.26
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $357.50 / $466.40 / $782.08	Professional	QX	$357.50	$466.40	$782.08
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $378.18 / $415.52 / $555.78	Professional	QY	$378.18	$415.52	$555.78
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $324.02 / $423.03 / $743.52	Professional	QZ	$324.02	$423.03	$743.52