Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,747.00 / $5,454.00	Facility		$1,285.00	$2,747.00	$5,454.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $986.30 / $2,466.36 / $7,078.82	Facility	50	$986.30	$2,466.36	$7,078.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,672.00 / $5,268.00 / $16,147.38	Facility		$1,672.00	$5,268.00	$16,147.38
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $202.10 / $202.10 / $1,442.13	Facility	AS	$202.10	$202.10	$1,442.13
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $791.52 / $1,709.80 / $6,679.00	Facility		$791.52	$1,709.80	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,633.36 / $1,866.28 / $4,223.28	Facility		$1,633.36	$1,866.28	$4,223.28
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,104.00 / $26,542.00	Facility		$2,155.00	$6,104.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $202.10 / $202.10 / $1,442.13	Facility	AS	$202.10	$202.10	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00