Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $78.51 / $78.51 / $522.50	Professional	AA	$78.51	$78.51	$522.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $249.89 / $290.14 / $565.60	Professional	QX	$249.89	$290.14	$565.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $219.60 / $219.60 / $230.20	Professional	QY	$219.60	$219.60	$230.20
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 / $240.00 / $240.00	Professional	QY	$120.00	$240.00	$240.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $338.30 / $454.15 / $919.84	Professional	AA	$338.30	$454.15	$919.84
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $263.88 / $372.13 / $513.57	Professional	QX	$263.88	$372.13	$513.57
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $263.88 / $297.70 / $460.09	Professional	QZ	$263.88	$297.70	$460.09
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $78.51 / $440.17 / $522.50	Professional	AA	$78.51	$440.17	$522.50
Martin's Point Facility/Professional Professional Modifier QX Low / Median / High Price $249.89 / $290.14 / $565.60	Professional	QX	$249.89	$290.14	$565.60
Martin's Point Facility/Professional Professional Modifier QY Low / Median / High Price $219.60 / $219.60 / $230.20	Professional	QY	$219.60	$219.60	$230.20
Priority Health Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00
Priority Health Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $240.00	Professional	QY	$120.00	$120.00	$240.00