Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.14 / $1,473.20 / $3,363.00	Facility		$339.14	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.75 / $254.36 / $587.12	Facility	54	$230.75	$254.36	$587.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $947.00 / $3,445.00	Facility		$464.01	$947.00	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,264.66 / $1,264.66 / $1,264.66	Facility	54	$1,264.66	$1,264.66	$1,264.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.21 / $545.11 / $973.14	Facility		$424.21	$545.11	$973.14
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $296.95 / $381.58 / $629.53	Facility	54	$296.95	$381.58	$629.53
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $356.12 / $773.52 / $6,679.00	Facility		$356.12	$773.52	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $324.39 / $324.39	Facility		$324.39	$324.39	$324.39
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $12,000.00	Facility		$627.00	$1,818.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,264.66 / $1,264.66 / $1,264.66	Facility	54	$1,264.66	$1,264.66	$1,264.66
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