First of all, if you are at altitude, you will be in fresh water, so 1 ATA = 34 feet.
Your ATA at depth is equal to the pressure of the water plus the pressure of the atmosphere, so in your example, the pressure at 34 feet would be 1.9, not 2.0. But an atmospheric pressure of 0.9 is not all that high. I dive locally at 0.83. I own a Shearwater Predator, which adjusts for altitude automatically. When I am diving air (.21 oxygen), it gives me my partial pressure in red numbers because it considers the mix--the air I breathe every day--to be dangerously hypoxic.
The closer you are to the surface, the bigger the difference, because the air pressure is a bigger part of the total pressure. The deeper you are, the more the total ATA is comprised of water pressure. The pressure at what would normally be 4 ATA at sea level will be 3.83 where I live--not that much difference. It makes a huge difference, though, as you ascend from that depth. Calculate the volume of a bubble in your body or the air in a BCD that starts at a volume of 1 whatever and goes to the surface. It will be 4 whatevers at sea level. It will be 4.62 whatevers in Denver.
I took my first DPV (scooter) instruction at Jefferson Lake in Colorado, at a depth of over 11,000 feet. That made the atmospheric pressure 0.67. The instructor laid a line on the bottom and had us practice go from one end to the other, turn around, and head back, over and over and over again. One end was at roughly 34 feet deep--or 1.67 ATA. The other end was at 10 feet--or .96 ATA. That means that the volume of air in our wings very nearly doubled in that short trip from the deep end to the shallow end, and then the volume changed the other way on the return trip. We were supposed to be working on controlling the scooters, a new experience for us, but we were instead working primarily on high speed buoyancy changes.