Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $933.25 / $1,949.84	Professional	AA	$436.52	$933.25	$1,949.84
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.04 / $380.19 / $741.31	Professional	QX	$257.04	$380.19	$741.31
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $1,659.59	Professional	QY	$269.15	$389.05	$1,659.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	QZ	$100.00	$100.00	$100.00
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