Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $392.96 / $392.96 / $392.96	Facility	AA	$392.96	$392.96	$392.96
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $228.66 / $398.68 / $680.11	Facility	QK	$228.66	$398.68	$680.11
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $635.90 / $860.51 / $1,428.77	Facility	QX	$635.90	$860.51	$1,428.77
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $250.07 / $316.95 / $577.54	Facility	QY	$250.07	$316.95	$577.54
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $414.83 / $980.00 / $1,820.00	Professional	AA	$414.83	$980.00	$1,820.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $139.79 / $139.79 / $139.79	Professional	AA	$139.79	$139.79	$139.79
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $294.81 / $492.81 / $1,134.00	Professional	AA	$294.81	$492.81	$1,134.00
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $392.96 / $392.96 / $392.96	Facility	AA	$392.96	$392.96	$392.96
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $228.66 / $398.68 / $680.11	Facility	QK	$228.66	$398.68	$680.11
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $635.90 / $860.51 / $1,428.77	Facility	QX	$635.90	$860.51	$1,428.77
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $250.07 / $316.95 / $577.54	Facility	QY	$250.07	$316.95	$577.54
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $414.83 / $725.93 / $1,680.00	Professional	AA	$414.83	$725.93	$1,680.00