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 / $3,693.00	Facility		$988.00	$2,094.00	$3,693.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,904.83 / $2,100.00 / $8,329.12	Facility	50	$1,904.83	$2,100.00	$8,329.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $5,268.00 / $12,000.00	Facility		$1,485.00	$5,268.00	$12,000.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $1,349.66 / $6,679.00	Facility		$647.00	$1,349.66	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $942.71 / $1,586.71 / $1,737.94	Facility		$942.71	$1,586.71	$1,737.94
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,104.00 / $12,000.00	Facility		$2,155.00	$6,104.00	$12,000.00
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