Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $436.52	Facility		$50.12	$398.11	$436.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $549.54 / $891.25	Professional	AA	$446.68	$549.54	$891.25
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $234.42 / $302.00 / $426.58	Professional	QK	$234.42	$302.00	$426.58
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $223.87 / $295.12 / $436.52	Professional	QX	$223.87	$295.12	$436.52
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $309.03 / $416.87	Professional	QY	$234.42	$309.03	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $524.81 / $645.65	Professional	QZ	$436.52	$524.81	$645.65
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 Professional Modifier AA Low / Median / High Price $407.38 / $524.81 / $602.56	Professional	AA	$407.38	$524.81	$602.56
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $309.03 / $380.19 / $575.44	Professional	QK	$309.03	$380.19	$575.44
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $398.11 / $575.44	Professional	QX	$295.12	$398.11	$575.44
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $323.59 / $416.87 / $602.56	Professional	QY	$323.59	$416.87	$602.56
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $371.54 / $489.78	Professional	QZ	$269.15	$371.54	$489.78