Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.82 / $616.60 / $977.24	Professional	AA	$128.82	$616.60	$977.24
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $120.23 / $316.23 / $537.03	Professional	QX	$120.23	$316.23	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $223.87 / $302.00 / $416.87	Professional	QY	$223.87	$302.00	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $537.03 / $630.96	Professional	QZ	$120.23	$537.03	$630.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $7,244.36	Facility		$1,778.28	$3,090.30	$7,244.36
AllWays Health Partners Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
AllWays Health Partners Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
AllWays Health Partners Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Health New England Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $501.19	Facility		$323.59	$389.05	$501.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $7,244.36	Facility		$1,778.28	$3,090.30	$7,244.36
Mass General Brigham Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Mass General Brigham Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Mass General Brigham Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48