Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $291.75 / $321.17 / $410.87	Facility	QK	$291.75	$321.17	$410.87
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $807.91 / $889.38 / $1,168.48	Facility	QX	$807.91	$889.38	$1,168.48
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $293.48 / $293.48 / $446.06	Facility	QY	$293.48	$293.48	$446.06
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $711.45 / $1,076.74 / $1,540.00	Professional	AA	$711.45	$1,076.74	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $175.73 / $736.98 / $787.34	Professional	QZ	$175.73	$736.98	$787.34
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $480.00 / $480.00 / $550.97	Professional	AA	$480.00	$480.00	$550.97
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $180.45 / $200.50 / $312.00	Professional	QZ	$180.45	$200.50	$312.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $437.08 / $807.30 / $1,274.25	Professional	AA	$437.08	$807.30	$1,274.25
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $351.00 / $446.56 / $556.29	Professional	QZ	$351.00	$446.56	$556.29
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $291.75 / $321.17 / $410.87	Facility	QK	$291.75	$321.17	$410.87
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $807.91 / $889.38 / $1,168.48	Facility	QX	$807.91	$889.38	$1,168.48
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $293.48 / $293.48 / $446.06	Facility	QY	$293.48	$293.48	$446.06
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $569.79 / $873.90 / $1,540.00	Professional	AA	$569.79	$873.90	$1,540.00
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $175.73 / $686.15 / $787.34	Professional	QZ	$175.73	$686.15	$787.34