Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,733.00 / $4,712.00	Facility		$1,758.00	$2,733.00	$4,712.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $5,045.87 / $11,161.46	Facility		$1,902.00	$5,045.87	$11,161.46
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $6,975.91 / $6,975.91 / $6,975.91	Facility	62	$6,975.91	$6,975.91	$6,975.91
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,116.15 / $1,116.15 / $1,116.15	Facility	AS	$1,116.15	$1,116.15	$1,116.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $3,343.00 / $6,679.00	Facility		$1,909.00	$3,343.00	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $4,249.00 / $11,161.46	Facility		$1,902.00	$4,249.00	$11,161.46
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $6,975.91 / $6,975.91 / $6,975.91	Facility	62	$6,975.91	$6,975.91	$6,975.91
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,116.15 / $1,116.15 / $1,116.15	Facility	AS	$1,116.15	$1,116.15	$1,116.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00