Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,089.30 / $4,168.69	Facility		$489.78	$2,089.30	$4,168.69
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,398.83 / $28,840.32	Facility		$630.96	$2,398.83	$28,840.32
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,288.25	Facility		$575.44	$575.44	$1,288.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,122.02 / $7,079.46	Facility		$501.19	$1,122.02	$7,079.46
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Health New England Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $3,090.30	Facility		$794.33	$3,019.95	$3,090.30
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,398.83 / $28,840.32	Facility		$741.31	$2,398.83	$28,840.32
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $4,073.80	Facility		$630.96	$2,041.74	$4,073.80