Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $891.25 / $1,621.81 / $2,818.38	Professional	AA	$891.25	$1,621.81	$2,818.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $363.08 / $602.56 / $977.24	Professional	QX	$363.08	$602.56	$977.24
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $380.19 / $660.69 / $1,778.28	Professional	QY	$380.19	$660.69	$1,778.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $660.69 / $1,905.46	Professional	QZ	$407.38	$660.69	$1,905.46
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
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