Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $563.47 / $563.47 / $563.47	Facility	AA	$563.47	$563.47	$563.47
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $369.15 / $369.15 / $392.96	Facility	QK	$369.15	$369.15	$392.96
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $416.27 / $416.27 / $523.95	Facility	QY	$416.27	$416.27	$523.95
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $627.20 / $940.95 / $1,820.00	Professional	AA	$627.20	$940.95	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,372.30 / $1,372.30 / $1,372.30	Professional	QZ	$1,372.30	$1,372.30	$1,372.30
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.41 / $140.41 / $650.00	Professional	AA	$140.41	$140.41	$650.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $621.00 / $621.00 / $621.00	Professional	QZ	$621.00	$621.00	$621.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $472.86 / $774.08 / $1,460.68	Professional	AA	$472.86	$774.08	$1,460.68
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $374.40 / $666.46 / $872.82	Professional	QZ	$374.40	$666.46	$872.82
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $563.47 / $563.47 / $563.47	Facility	AA	$563.47	$563.47	$563.47
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $369.15 / $369.15 / $392.96	Facility	QK	$369.15	$369.15	$392.96
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $416.27 / $416.27 / $523.95	Facility	QY	$416.27	$416.27	$523.95
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $627.20 / $863.53 / $1,680.00	Professional	AA	$627.20	$863.53	$1,680.00
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $1,372.30 / $1,372.30 / $1,372.30	Professional	QZ	$1,372.30	$1,372.30	$1,372.30