Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $305.20 / $305.20 / $328.69	Facility	QK	$305.20	$305.20	$328.69
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $845.21 / $910.22 / $1,509.95	Facility	QX	$845.21	$910.22	$1,509.95
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $1,483.92 / $1,483.92 / $1,483.92	Facility	QY	$1,483.92	$1,483.92	$1,483.92
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $216.89 / $994.14 / $1,820.00	Professional	AA	$216.89	$994.14	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $302.39 / $598.35 / $838.63	Professional	QZ	$302.39	$598.35	$838.63
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $273.82 / $522.47 / $615.74	Professional	AA	$273.82	$522.47	$615.74
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $200.50 / $200.50 / $200.50	Professional	QZ	$200.50	$200.50	$200.50
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $482.40 / $967.54 / $1,772.36	Professional	AA	$482.40	$967.54	$1,772.36
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $405.96 / $527.75 / $974.31	Professional	QZ	$405.96	$527.75	$974.31
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $305.20 / $305.20 / $328.69	Facility	QK	$305.20	$305.20	$328.69
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $845.21 / $910.22 / $1,509.95	Facility	QX	$845.21	$910.22	$1,509.95
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $1,483.92 / $1,483.92 / $1,483.92	Facility	QY	$1,483.92	$1,483.92	$1,483.92
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $576.70 / $980.00 / $1,960.00	Professional	AA	$576.70	$980.00	$1,960.00
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $569.16 / $598.35 / $838.63	Professional	QZ	$569.16	$598.35	$838.63