Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.53 / $224.82 / $714.59	Facility	54	$209.53	$224.82	$714.59
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,170.09 / $1,170.09 / $1,170.09	Facility	54	$1,170.09	$1,170.09	$1,170.09
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,170.09 / $1,170.09 / $1,170.09	Facility	54	$1,170.09	$1,170.09	$1,170.09