Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,089.30 / $5,128.61	Facility		$524.81	$2,089.30	$5,128.61
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	22	$1,862.09	$1,862.09	$1,862.09
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,981.07 / $9,772.37	Facility		$912.01	$3,981.07	$9,772.37
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	62	$3,890.45	$3,890.45	$3,890.45
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	AS	$616.60	$616.60	$616.60
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $8,511.38	Facility		$302.00	$575.44	$8,511.38
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
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,949.84	Facility		$1,318.26	$1,318.26	$1,949.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,981.07 / $9,772.37	Facility		$851.14	$3,981.07	$9,772.37
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	62	$3,890.45	$3,890.45	$3,890.45
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	AS	$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,888.44 / $12,882.50	Facility		$2,344.23	$5,888.44	$12,882.50