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 $398.11 / $741.31 / $1,023.29	Professional	AA	$398.11	$741.31	$1,023.29
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $234.42 / $323.59 / $575.44	Professional	QK	$234.42	$323.59	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $229.09 / $316.23 / $549.54	Professional	QX	$229.09	$316.23	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $223.87 / $323.59 / $562.34	Professional	QY	$223.87	$323.59	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $380.19 / $512.86 / $660.69	Professional	QZ	$380.19	$512.86	$660.69
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 $173.78 / $281.84 / $281.84	Facility		$173.78	$281.84	$281.84
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