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 $436.52 / $831.76 / $1,412.54	Professional	AA	$436.52	$831.76	$1,412.54
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $190.55 / $371.54 / $630.96	Professional	QK	$190.55	$371.54	$630.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $371.54 / $630.96	Professional	QX	$234.42	$371.54	$630.96
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $245.47 / $346.74 / $616.60	Professional	QY	$245.47	$346.74	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $562.34 / $741.31	Professional	QZ	$309.03	$562.34	$741.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $104.71	Facility		$19.95	$52.48	$104.71
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 $208.93 / $416.87 / $489.78	Facility		$208.93	$416.87	$489.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $104.71	Facility		$19.95	$52.48	$104.71
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