Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.50 / $2,083.00 / $3,625.00	Facility		$765.50	$2,083.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $280.31 / $280.31 / $280.31	Facility	54	$280.31	$280.31	$280.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.10 / $2,826.85 / $8,498.00	Facility		$941.10	$2,826.85	$8,498.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $749.74 / $749.74 / $3,154.80	Facility	54	$749.74	$749.74	$3,154.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $420.43 / $915.94 / $6,679.00	Facility		$420.43	$915.94	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,637.68 / $1,637.68 / $1,637.68	Facility		$1,637.68	$1,637.68	$1,637.68
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,592.00 / $12,000.00	Facility		$1,640.00	$3,592.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $749.74 / $749.74 / $3,154.80	Facility	54	$749.74	$749.74	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,592.00 / $8,425.00	Facility		$1,640.00	$3,592.00	$8,425.00