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 $1,697.00 / $5,298.70 / $15,421.00	Facility		$1,697.00	$5,298.70	$15,421.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $397.14 / $397.14 / $786.59	Facility	AS	$397.14	$397.14	$786.59
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,574.20 / $2,544.80 / $6,679.00	Facility		$1,574.20	$2,544.80	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,904.00 / $15,421.00	Facility		$55.00	$5,904.00	$15,421.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $397.14 / $397.14 / $786.59	Facility	AS	$397.14	$397.14	$786.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,017.00	Facility		$2,386.00	$5,904.00	$13,017.00