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 $863.44 / $2,872.92 / $4,765.95	Professional	AA	$863.44	$2,872.92	$4,765.95
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $144.63 / $1,675.87 / $3,591.16	Professional	QK	$144.63	$1,675.87	$3,591.16
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $144.63 / $1,045.85 / $3,830.56	Professional	QX	$144.63	$1,045.85	$3,830.56
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $82.00 / $818.35	Facility		$27.76	$82.00	$818.35
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 QK Low / Median / High Price $240.00 / $240.00 / $240.00	Professional	QK	$240.00	$240.00	$240.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $240.00 / $240.00 / $240.00	Professional	QX	$240.00	$240.00	$240.00
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
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