Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $6,456.54	Facility		$2,570.40	$3,715.35	$6,456.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,025.60 / $13,803.84	Facility		$1,995.26	$6,025.60	$13,803.84
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	62	$11,481.54	$11,481.54	$11,481.54
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	AS	$1,862.09	$1,862.09	$1,862.09
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,630.78 / $7,079.46	Facility		$812.83	$3,630.78	$7,079.46
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $13,182.57	Facility		$2,511.89	$6,165.95	$13,182.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $16,595.87	Facility		$1,995.26	$6,165.95	$16,595.87
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	62	$11,481.54	$11,481.54	$11,481.54
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	AS	$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $12,882.50	Facility		$2,290.87	$4,897.79	$12,882.50