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 $818.35 / $3,764.00 / $8,908.95	Facility		$818.35	$3,764.00	$8,908.95
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $144.18 / $144.18 / $279.77	Facility	AS	$144.18	$144.18	$279.77
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $570.24 / $1,212.46 / $6,679.00	Facility		$570.24	$1,212.46	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,764.00 / $10,574.72	Facility		$55.00	$3,764.00	$10,574.72
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $144.18 / $144.18 / $279.77	Facility	AS	$144.18	$144.18	$279.77
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