Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,754.23 / $3,801.89	Professional	AA	$1,659.59	$2,754.23	$3,801.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $977.24 / $3,235.94	Professional	QZ	$371.54	$977.24	$3,235.94
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $239.88 / $1,380.38 / $1,412.54	Professional	AA	$239.88	$1,380.38	$1,412.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	QZ	$263.03	$263.03	$263.03
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
Geisinger Facility/Professional Professional Modifier AA Low / Median / High Price $208.93 / $478.63 / $707.95	Professional	AA	$208.93	$478.63	$707.95
Geisinger Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $478.63 / $707.95	Professional	QZ	$208.93	$478.63	$707.95
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $1,047.13 / $2,187.76 / $3,019.95	Professional	AA	$1,047.13	$2,187.76	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional	QZ	$2,454.71	$2,454.71	$2,454.71
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,511.89 / $3,801.89	Professional	AA	$1,659.59	$2,511.89	$3,801.89
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $977.24 / $3,235.94	Professional	QZ	$371.54	$977.24	$3,235.94