Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.30 / $2,083.00 / $3,685.00	Facility		$368.30	$2,083.00	$3,685.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $618.04 / $1,201.89 / $5,000.00	Facility		$618.04	$1,201.89	$5,000.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $583.51 / $583.51 / $1,154.33	Facility	62	$583.51	$583.51	$1,154.33
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $93.36 / $93.36 / $184.69	Facility	AS	$93.36	$93.36	$184.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $604.22 / $8,090.00	Facility		$300.00	$604.22	$8,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,020.68 / $1,021.36 / $1,029.47	Facility		$1,020.68	$1,021.36	$1,029.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,217.00 / $5,114.62	Facility		$627.00	$2,217.00	$5,114.62
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $583.51 / $583.51 / $1,154.33	Facility	62	$583.51	$583.51	$1,154.33
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $93.36 / $93.36 / $184.69	Facility	AS	$93.36	$93.36	$184.69
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00