Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,412.54 / $1,949.84 / $3,235.94	Professional	AA	$1,412.54	$1,949.84	$3,235.94
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $549.54 / $1,288.25	Professional	QZ	$467.74	$549.54	$1,288.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	AA	$398.11	$398.11	$398.11
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $181.97 / $245.47	Professional	QZ	$162.18	$181.97	$245.47
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $316.23 / $467.74	Professional	AA	$141.25	$316.23	$467.74
Geisinger Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $316.23 / $467.74	Professional	QZ	$141.25	$316.23	$467.74
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $851.14 / $1,548.82	Professional	AA	$724.44	$851.14	$1,548.82
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $602.56 / $724.44 / $758.58	Professional	QZ	$602.56	$724.44	$758.58
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,905.46 / $3,311.31	Professional	AA	$870.96	$1,905.46	$3,311.31
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $891.25 / $1,288.25	Professional	QZ	$467.74	$891.25	$1,288.25