Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $1,144.73 / $4,142.00	Facility		$502.00	$1,144.73	$4,142.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $722.54 / $722.54 / $1,429.34	Facility	62	$722.54	$722.54	$1,429.34
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $115.61 / $115.61 / $228.69	Facility	AS	$115.61	$115.61	$228.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $748.13 / $8,090.00	Facility		$300.00	$748.13	$8,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,279.66 / $1,279.66 / $1,279.66	Facility		$1,279.66	$1,279.66	$1,279.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,818.00 / $6,332.20	Facility		$55.00	$1,818.00	$6,332.20
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $722.54 / $722.54 / $1,429.34	Facility	62	$722.54	$722.54	$1,429.34
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $115.61 / $115.61 / $228.69	Facility	AS	$115.61	$115.61	$228.69
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