Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $660.69 / $660.69	Professional	AA	$138.04	$660.69	$660.69
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $389.05 / $630.96	Professional	QX	$295.12	$389.05	$630.96
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	QY	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	QZ	$131.83	$131.83	$131.83
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