Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $2,663.12 / $4,767.00	Facility		$886.00	$2,663.12	$4,767.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.20 / $328.20 / $328.20	Facility	54	$328.20	$328.20	$328.20
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 $874.50 / $874.50 / $3,154.80	Facility	54	$874.50	$874.50	$3,154.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $490.39 / $1,067.76 / $6,679.00	Facility		$490.39	$1,067.76	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,592.00 / $16,394.00	Facility		$1,640.00	$3,592.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $874.50 / $874.50 / $3,154.80	Facility	54	$874.50	$874.50	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00