Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	AA	$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $724.44 / $1,148.15	Professional	AA	$562.34	$724.44	$1,148.15
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $295.12 / $371.54 / $512.86	Professional	QK	$295.12	$371.54	$512.86
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $288.40 / $363.08 / $501.19	Professional	QX	$288.40	$363.08	$501.19
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $302.00 / $371.54 / $457.09	Professional	QY	$302.00	$371.54	$457.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $616.60 / $794.33	Professional	QZ	$537.03	$616.60	$794.33
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 $549.54 / $676.08 / $954.99	Professional	AA	$549.54	$676.08	$954.99
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $446.68 / $537.03 / $776.25	Professional	QK	$446.68	$537.03	$776.25
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $436.52 / $524.81 / $870.96	Professional	QX	$436.52	$524.81	$870.96
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $512.86 / $630.96 / $851.14	Professional	QY	$512.86	$630.96	$851.14
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $588.84 / $794.33	Professional	QZ	$436.52	$588.84	$794.33