Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $460.80 / $1,893.90 / $3,072.80	Professional	AA	$460.80	$1,893.90	$3,072.80
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $481.25 / $893.85 / $1,298.59	Professional	QX	$481.25	$893.85	$1,298.59
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $752.25 / $752.25 / $993.65	Professional	QY	$752.25	$752.25	$993.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,720.00 / $2,184.40 / $2,700.40	Professional	QZ	$1,720.00	$2,184.40	$2,700.40
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $245.90 / $245.90 / $245.90	Professional	QY	$245.90	$245.90	$245.90
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $209.75 / $787.20 / $2,200.02	Professional	AA	$209.75	$787.20	$2,200.02
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $1,067.09 / $1,067.09 / $1,067.09	Professional	QZ	$1,067.09	$1,067.09	$1,067.09
MVP Health Care Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
MVP Health Care Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00