Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $219.26 / $219.26 / $1,118.90	Professional	QZ	$219.26	$219.26	$1,118.90
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $255.00 / $255.00 / $255.00	Professional	QZ	$255.00	$255.00	$255.00
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $351.05 / $361.20 / $505.10	Professional	QZ	$351.05	$361.20	$505.10