Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $1,202.26 / $1,905.46	Professional	AA	$588.84	$1,202.26	$1,905.46
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $1,230.27 / $1,905.46	Professional	QZ	$398.11	$1,230.27	$1,905.46
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $144.54 / $144.54 / $1,202.26	Professional	AA	$144.54	$144.54	$1,202.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $144.54 / $977.24	Professional	QZ	$144.54	$144.54	$977.24
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
Fidelis Facility/Professional Professional Modifier AA Low / Median / High Price $2.19 / $2.19 / $2.19	Professional	AA	$2.19	$2.19	$2.19
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $691.83 / $851.14	Professional	AA	$338.84	$691.83	$851.14
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $575.44 / $707.95	Professional	QZ	$208.93	$575.44	$707.95