Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $275.56 / $275.56 / $481.30	Facility	QK	$275.56	$275.56	$481.30
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $763.09 / $763.09 / $1,332.83	Facility	QX	$763.09	$763.09	$1,332.83
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $404.55 / $404.55 / $404.55	Facility	QY	$404.55	$404.55	$404.55
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $863.53 / $1,260.00 / $1,400.00	Professional	AA	$863.53	$1,260.00	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $186.56 / $186.56 / $780.96	Professional	QZ	$186.56	$186.56	$780.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $160.47 / $168.50 / $540.00	Professional	AA	$160.47	$168.50	$540.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $700.00 / $700.00 / $700.00	Professional	QZ	$700.00	$700.00	$700.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $317.67 / $603.00 / $1,297.41	Professional	AA	$317.67	$603.00	$1,297.41
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $426.26 / $656.31 / $663.07	Professional	QZ	$426.26	$656.31	$663.07
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $275.56 / $275.56 / $481.30	Facility	QK	$275.56	$275.56	$481.30
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $763.09 / $763.09 / $1,332.83	Facility	QX	$763.09	$763.09	$1,332.83
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $404.55 / $404.55 / $404.55	Facility	QY	$404.55	$404.55	$404.55
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $180.59 / $1,036.00 / $1,820.00	Professional	AA	$180.59	$1,036.00	$1,820.00
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $186.56 / $186.56 / $780.96	Professional	QZ	$186.56	$186.56	$780.96