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 $569.22 / $1,106.94 / $5,000.00	Facility		$569.22	$1,106.94	$5,000.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $541.99 / $541.99 / $1,066.49	Facility	62	$541.99	$541.99	$1,066.49
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $86.72 / $86.72 / $170.64	Facility	AS	$86.72	$86.72	$170.64
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $556.34 / $8,090.00	Facility		$300.00	$556.34	$8,090.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,217.00 / $5,000.00	Facility		$627.00	$2,217.00	$5,000.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $541.99 / $541.99 / $1,066.49	Facility	62	$541.99	$541.99	$1,066.49
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $86.72 / $86.72 / $170.64	Facility	AS	$86.72	$86.72	$170.64
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