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 Low / Median / High Price $32.50 / $43.26 / $593.04	Professional		$32.50	$43.26	$593.04
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,050.56 / $2,563.19 / $3,112.33	Professional	AA	$2,050.56	$2,563.19	$3,112.33
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $2,623.42 / $2,623.42 / $2,623.42	Professional	QX	$2,623.42	$2,623.42	$2,623.42
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
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $74.00 / $1,351.68	Professional		$36.00	$74.00	$1,351.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $565.98 / $881.88	Professional		$421.02	$565.98	$881.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $400.00 / $562.20	Professional		$225.00	$400.00	$562.20
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00
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
Health New England Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $331.50 / $386.75	Facility		$147.40	$331.50	$386.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $531.44 / $607.36	Professional		$265.72	$531.44	$607.36
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
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $75.00 / $1,351.68	Professional		$45.00	$75.00	$1,351.68
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $70.00 / $112.95	Professional		$42.00	$70.00	$112.95