Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,894.00 / $6,107.00	Facility		$2,528.00	$2,894.00	$6,107.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,939.00 / $6,280.00 / $15,105.12	Facility		$1,939.00	$6,280.00	$15,105.12
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $4,286.35 / $4,286.35 / $8,379.33	Facility	62	$4,286.35	$4,286.35	$8,379.33
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $685.82 / $685.82 / $1,340.69	Facility	AS	$685.82	$685.82	$1,340.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $3,711.84 / $6,679.00	Facility		$1,909.00	$3,711.84	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,897.00 / $15,105.12	Facility		$2,324.00	$5,897.00	$15,105.12
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $4,286.35 / $4,286.35 / $8,379.33	Facility	62	$4,286.35	$4,286.35	$8,379.33
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $685.82 / $685.82 / $1,340.69	Facility	AS	$685.82	$685.82	$1,340.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,311.23 / $4,751.20 / $10,764.00	Facility		$2,311.23	$4,751.20	$10,764.00