Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $586.95 / $586.95 / $586.95	Facility	QK	$586.95	$586.95	$586.95
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,088.21 / $1,088.21 / $1,088.21	Facility	QX	$1,088.21	$1,088.21	$1,088.21
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $392.96 / $392.96 / $476.32	Facility	QY	$392.96	$392.96	$476.32
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,540.00 / $2,240.00	Professional	AA	$980.00	$1,540.00	$2,240.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $452.81 / $581.58 / $592.14	Professional	AA	$452.81	$581.58	$592.14
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $200.50 / $200.50 / $220.55	Professional	QZ	$200.50	$200.50	$220.55
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $534.52 / $1,250.97 / $2,475.61	Professional	AA	$534.52	$1,250.97	$2,475.61
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $548.04 / $673.23 / $913.41	Professional	QZ	$548.04	$673.23	$913.41
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $586.95 / $586.95 / $586.95	Facility	QK	$586.95	$586.95	$586.95
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $1,088.21 / $1,088.21 / $1,088.21	Facility	QX	$1,088.21	$1,088.21	$1,088.21
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $392.96 / $392.96 / $476.32	Facility	QY	$392.96	$392.96	$476.32
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $999.00 / $1,540.00 / $2,240.00	Professional	AA	$999.00	$1,540.00	$2,240.00