Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $211.30 / $211.30 / $211.30	Facility	QK	$211.30	$211.30	$211.30
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $882.25 / $882.25 / $882.25	Facility	QX	$882.25	$882.25	$882.25
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $318.58 / $318.58 / $318.58	Facility	QY	$318.58	$318.58	$318.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $366.39 / $648.00 / $1,540.00	Professional	AA	$366.39	$648.00	$1,540.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $122.44 / $244.88 / $420.00	Professional	AA	$122.44	$244.88	$420.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $284.18 / $584.60 / $852.52	Professional	AA	$284.18	$584.60	$852.52
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $211.30 / $211.30 / $211.30	Facility	QK	$211.30	$211.30	$211.30
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $882.25 / $882.25 / $882.25	Facility	QX	$882.25	$882.25	$882.25
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $318.58 / $318.58 / $318.58	Facility	QY	$318.58	$318.58	$318.58
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $390.34 / $648.00 / $1,540.00	Professional	AA	$390.34	$648.00	$1,540.00