Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,733.00 / $4,806.64	Facility		$1,758.00	$2,733.00	$4,806.64
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,011.14 / $3,465.42 / $8,498.00	Facility		$1,011.14	$3,465.42	$8,498.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $156.19 / $156.19 / $646.16	Facility	AS	$156.19	$156.19	$646.16
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $614.87 / $1,326.54 / $6,679.00	Facility		$614.87	$1,326.54	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,267.18 / $4,267.18 / $4,267.18	Facility		$4,267.18	$4,267.18	$4,267.18
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,592.00 / $26,542.00	Facility		$1,640.00	$3,592.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $156.19 / $156.19 / $646.16	Facility	AS	$156.19	$156.19	$646.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $3,592.00 / $8,498.00	Facility		$1,450.00	$3,592.00	$8,498.00