Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $99.78 / $99.78 / $99.78	Facility	QY	$99.78	$99.78	$99.78
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $263.88 / $343.71 / $426.26	Professional	QZ	$263.88	$343.71	$426.26
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $99.78 / $99.78 / $99.78	Facility	QY	$99.78	$99.78	$99.78