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 $672.53 / $672.53 / $672.53	Facility	52	$672.53	$672.53	$672.53
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,588.56 / $6,003.00 / $28,594.87	Facility		$1,588.56	$6,003.00	$28,594.87
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,956.24 / $2,956.24 / $5,796.52	Facility	52	$2,956.24	$2,956.24	$5,796.52
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $369.53 / $369.53 / $724.57	Facility	AS	$369.53	$369.53	$724.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,169.62 / $26,169.62 / $27,002.70	Facility		$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 / $2,290.59 / $8,090.00	Facility		$300.00	$2,290.59	$8,090.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,238.00 / $20,362.00	Facility		$55.00	$6,238.00	$20,362.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,956.24 / $2,956.24 / $5,796.52	Facility	52	$2,956.24	$2,956.24	$5,796.52
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $369.53 / $369.53 / $724.57	Facility	AS	$369.53	$369.53	$724.57
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