Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $3,542.06 / $8,771.94	Facility		$1,641.00	$3,542.06	$8,771.94
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,844.73 / $1,844.73 / $1,844.73	Facility	22	$1,844.73	$1,844.73	$1,844.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,089.00 / $6,078.00 / $25,526.57	Facility		$2,089.00	$6,078.00	$25,526.57
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $2,591.90 / $2,591.90 / $30,473.31	Facility	62	$2,591.90	$2,591.90	$30,473.31
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $414.70 / $414.70 / $4,875.72	Facility	AS	$414.70	$414.70	$4,875.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,633.41 / $20,683.62 / $20,683.62	Facility		$20,633.41	$20,683.62	$20,683.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,638.46 / $8,090.00	Facility		$300.00	$2,638.46	$8,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,931.75 / $5,315.70 / $27,330.02	Facility		$1,931.75	$5,315.70	$27,330.02
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $7,292.00 / $39,500.00	Facility		$2,386.00	$7,292.00	$39,500.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $2,591.90 / $2,591.90 / $30,473.31	Facility	62	$2,591.90	$2,591.90	$30,473.31
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $414.70 / $414.70 / $4,875.72	Facility	AS	$414.70	$414.70	$4,875.72
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