Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $390.00 / $730.00	Facility		$33.81	$390.00	$730.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $118.50 / $877.20 / $1,254.00	Professional	AA	$118.50	$877.20	$1,254.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $412.80 / $490.20 / $593.40	Professional	QX	$412.80	$490.20	$593.40
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $387.00 / $433.65 / $539.85	Professional	QY	$387.00	$433.65	$539.85
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $734.80 / $877.20 / $985.30	Professional	QZ	$734.80	$877.20	$985.30
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.88 / $122.88 / $122.88	Professional	QZ	$122.88	$122.88	$122.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $545.40 / $545.40 / $545.40	Professional	QZ	$545.40	$545.40	$545.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00