Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $78.51 / $617.90 / $1,169.59	Professional	AA	$78.51	$617.90	$1,169.59
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $409.15 / $409.15 / $486.75	Professional	QX	$409.15	$409.15	$486.75
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $375.75 / $409.15 / $486.75	Professional	QY	$375.75	$409.15	$486.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $584.50 / $584.50 / $617.90	Professional	QZ	$584.50	$584.50	$617.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $80.36 / $80.36 / $80.36	Professional	AA	$80.36	$80.36	$80.36
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QY	$120.00	$120.00	$120.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $713.52 / $713.52 / $713.52	Professional	AA	$713.52	$713.52	$713.52
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $394.20 / $399.60 / $783.00	Professional	QX	$394.20	$399.60	$783.00
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $378.00 / $378.00 / $378.00	Professional	QY	$378.00	$378.00	$378.00
MVP Health Care Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00
MVP Health Care Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QY	$120.00	$120.00	$120.00