Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $306.00 / $946.00 / $1,634.00	Professional	AA	$306.00	$946.00	$1,634.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $412.50 / $1,169.00 / $1,462.00	Professional	QZ	$412.50	$1,169.00	$1,462.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $105.47 / $105.47 / $992.97	Professional	AA	$105.47	$105.47	$992.97
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.88 / $122.88 / $1,040.00	Professional	QZ	$122.88	$122.88	$1,040.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $229.50 / $537.60 / $737.41	Professional	AA	$229.50	$537.60	$737.41
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $171.62 / $438.60 / $663.60	Professional	QZ	$171.62	$438.60	$663.60