Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $457.09	Facility		$50.12	$398.11	$457.09
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	QZ	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $562.34 / $831.76	Professional	AA	$457.09	$562.34	$831.76
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $229.09 / $302.00 / $416.87	Professional	QK	$229.09	$302.00	$416.87
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $229.09 / $302.00 / $426.58	Professional	QX	$229.09	$302.00	$426.58
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $281.84 / $398.11	Professional	QY	$234.42	$281.84	$398.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $537.03 / $660.69	Professional	QZ	$436.52	$537.03	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $331.13 / $645.65 / $1,000.00	Professional	AA	$331.13	$645.65	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $380.19 / $436.52 / $691.83	Professional	QK	$380.19	$436.52	$691.83
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $346.74 / $436.52 / $707.95	Professional	QX	$346.74	$436.52	$707.95
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $338.84 / $416.87 / $512.86	Professional	QY	$338.84	$416.87	$512.86
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $426.58 / $616.60	Professional	QZ	$316.23	$426.58	$616.60