Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $851.14	Professional		$30.20	$50.12	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $2,238.72 / $2,818.38	Professional	AA	$389.05	$2,238.72	$2,818.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $346.74 / $549.54	Professional	QX	$269.15	$346.74	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $104.71	Facility		$19.95	$52.48	$104.71
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
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $72.44 / $1,348.96	Professional		$30.20	$72.44	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $588.84	Professional		$346.74	$346.74	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $549.54	Professional		$199.53	$389.05	$549.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $91.20	Professional		$41.69	$64.57	$91.20
Health New England Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $234.42	Facility		$147.91	$229.09	$234.42
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $104.71	Facility		$19.95	$52.48	$104.71
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
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $72.44 / $1,348.96	Professional		$30.20	$72.44	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $104.71	Professional		$44.67	$70.79	$104.71