Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $2,079.00 / $4,755.14	Facility		$537.00	$2,079.00	$4,755.14
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 $856.61 / $3,895.00 / $9,849.00	Facility		$856.61	$3,895.00	$9,849.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $590.07 / $590.07 / $1,168.08	Facility	62	$590.07	$590.07	$1,168.08
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $94.41 / $94.41 / $186.89	Facility	AS	$94.41	$94.41	$186.89
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $611.66 / $8,090.00	Facility		$300.00	$611.66	$8,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,304.76 / $1,304.76 / $1,931.75	Facility		$1,304.76	$1,304.76	$1,931.75
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,063.00 / $12,850.00	Facility		$2,324.00	$5,063.00	$12,850.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $590.07 / $590.07 / $1,168.08	Facility	62	$590.07	$590.07	$1,168.08
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $94.41 / $94.41 / $186.89	Facility	AS	$94.41	$94.41	$186.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00