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 AA Low / Median / High Price $354.81 / $794.33 / $1,202.26	Professional	AA	$354.81	$794.33	$1,202.26
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $213.80 / $323.59 / $575.44	Professional	QK	$213.80	$323.59	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $223.87 / $331.13 / $562.34	Professional	QX	$223.87	$331.13	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.78 / $295.12 / $549.54	Professional	QY	$218.78	$295.12	$549.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $338.84 / $549.54 / $724.44	Professional	QZ	$338.84	$549.54	$724.44
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
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
Health New England Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $489.78	Facility		$346.74	$346.74	$489.78
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