Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $32.50 / $32.50	Facility		$32.50	$32.50	$32.50
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $418.00 / $980.00 / $4,101.12	Professional	AA	$418.00	$980.00	$4,101.12
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $212.80 / $357.79 / $415.47	Professional	QX	$212.80	$357.79	$415.47
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $128.38 / $128.38 / $128.38	Professional	QY	$128.38	$128.38	$128.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $387.60 / $478.80 / $554.79	Professional	QZ	$387.60	$478.80	$554.79
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $3,030.02 / $6,919.09	Facility		$82.00	$3,030.02	$6,919.09
AllWays Health Partners Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
AllWays Health Partners Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
AllWays Health Partners Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QX	$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QY	$150.00	$150.00	$150.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $360.50 / $432.60	Facility		$325.00	$360.50	$432.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
Mass General Brigham Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Mass General Brigham Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Mass General Brigham Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50