Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $325.00 / $555.00	Professional		$210.00	$325.00	$555.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $355.00 / $355.00 / $355.00	Professional	AA	$355.00	$355.00	$355.00
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $295.04 / $384.30 / $1,795.89	Professional	QX	$295.04	$384.30	$1,795.89
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $577.50 / $577.50 / $1,736.68	Professional	QY	$577.50	$577.50	$1,736.68
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $353.80 / $1,027.50 / $1,027.50	Professional	QZ	$353.80	$1,027.50	$1,027.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $55.00 / $94.25	Professional		$41.00	$55.00	$94.25