Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $81.28 / $1,737.80 / $2,884.03	Professional	AA	$81.28	$1,737.80	$2,884.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $954.99 / $2,041.74	Professional	QZ	$562.34	$954.99	$2,041.74
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $199.53 / $776.25	Professional	QZ	$199.53	$199.53	$776.25
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 $371.54 / $691.83 / $1,174.90	Professional	AA	$371.54	$691.83	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $467.74 / $1,096.48	Professional	QZ	$354.81	$467.74	$1,096.48
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $81.28 / $1,479.11 / $2,238.72	Professional	AA	$81.28	$1,479.11	$2,238.72
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $954.99 / $2,041.74	Professional	QZ	$562.34	$954.99	$2,041.74