Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $1,023.29 / $1,548.82	Professional	AA	$549.54	$1,023.29	$1,548.82
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $295.12 / $407.38 / $676.08	Professional	QK	$295.12	$407.38	$676.08
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $398.11 / $645.65	Professional	QX	$295.12	$398.11	$645.65
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $288.40 / $398.11 / $660.69	Professional	QY	$288.40	$398.11	$660.69
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $616.60 / $891.25	Professional	QZ	$354.81	$616.60	$891.25
AllWays Health Partners Facility/Professional Facility Modifier QK Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QK	$134.90	$134.90	$134.90
AllWays Health Partners Facility/Professional Facility Modifier QX Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QX	$134.90	$134.90	$134.90
AllWays Health Partners Facility/Professional Facility Modifier QY Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QY	$134.90	$134.90	$134.90
Mass General Brigham Facility/Professional Facility Modifier QK Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QK	$134.90	$134.90	$134.90
Mass General Brigham Facility/Professional Facility Modifier QX Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QX	$134.90	$134.90	$134.90
Mass General Brigham Facility/Professional Facility Modifier QY Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QY	$134.90	$134.90	$134.90