Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $2,955.00 / $7,203.00	Facility		$1,749.00	$2,955.00	$7,203.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $872.32 / $872.32 / $872.32	Facility	52	$872.32	$872.32	$872.32
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $6,096.00 / $28,594.87	Facility		$1,804.00	$6,096.00	$28,594.87
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $3,825.93 / $3,825.93 / $7,485.02	Facility	52	$3,825.93	$3,825.93	$7,485.02
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $478.24 / $478.24 / $935.63	Facility	AS	$478.24	$478.24	$935.63
BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $26,169.62 / $26,169.62 / $27,002.70	Facility	52	$26,169.62	$26,169.62	$27,002.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,633.41 / $20,683.62 / $20,683.62	Facility		$20,633.41	$20,683.62	$20,683.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,867.00 / $8,090.00	Facility		$300.00	$2,867.00	$8,090.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,238.00 / $23,770.78	Facility		$55.00	$6,238.00	$23,770.78
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $3,825.93 / $3,825.93 / $7,485.02	Facility	52	$3,825.93	$3,825.93	$7,485.02
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $478.24 / $478.24 / $935.63	Facility	AS	$478.24	$478.24	$935.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,898.00 / $24,484.00	Facility		$2,485.00	$6,898.00	$24,484.00