Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $224.97 / $660.37	Professional		$224.97	$224.97	$660.37
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $2,854.00 / $5,876.00	Facility		$953.00	$2,854.00	$5,876.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $671.57 / $1,147.46 / $5,065.12	Professional		$671.57	$1,147.46	$5,065.12
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
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.96 / $1,009.96 / $1,188.19	Professional		$1,009.96	$1,009.96	$1,188.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $926.52 / $1,753.07 / $2,307.59	Professional		$926.52	$1,753.07	$2,307.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $2,854.00 / $5,876.00	Facility		$953.00	$2,854.00	$5,876.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $671.57 / $1,062.54 / $5,065.12	Professional		$671.57	$1,062.54	$5,065.12
United Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $3,325.00 / $4,662.00	Facility		$953.00	$3,325.00	$4,662.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.06 / $1,012.86 / $2,025.46	Professional		$668.06	$1,012.86	$2,025.46