Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $653.98 / $653.98 / $653.98	Professional	AA	$653.98	$653.98	$653.98
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $293.48 / $323.13 / $471.83	Professional	QX	$293.48	$323.13	$471.83
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $116.82 / $116.82 / $116.82	Professional	QX	$116.82	$116.82	$116.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.30 / $120.30 / $140.35	Professional	QZ	$120.30	$120.30	$140.35
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $365.37 / $477.85 / $744.96	Professional	AA	$365.37	$477.85	$744.96
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $361.80 / $549.27 / $833.58	Professional	QX	$361.80	$549.27	$833.58
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $615.71 / $722.79 / $754.04	Professional	QY	$615.71	$722.79	$754.04
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $318.01 / $504.07 / $615.71	Professional	QZ	$318.01	$504.07	$615.71
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $653.98 / $653.98 / $653.98	Professional	AA	$653.98	$653.98	$653.98
Martin's Point Facility/Professional Professional Modifier QX Low / Median / High Price $293.48 / $316.05 / $410.87	Professional	QX	$293.48	$316.05	$410.87