Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,894.76 / $7,403.20	Facility		$2,528.00	$2,894.76	$7,403.20
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $845.93 / $845.93 / $845.93	Facility	54	$845.93	$845.93	$845.93
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,341.16 / $4,751.20 / $14,547.21	Facility		$1,341.16	$4,751.20	$14,547.21
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $2,179.83 / $2,179.83 / $4,287.96	Facility	54	$2,179.83	$2,179.83	$4,287.96
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $311.39 / $311.39 / $612.55	Facility	AS	$311.39	$311.39	$612.55
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,929.43 / $8,090.00	Facility		$300.00	$1,929.43	$8,090.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,063.00 / $12,850.00	Facility		$55.00	$5,063.00	$12,850.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $2,179.83 / $2,179.83 / $4,287.96	Facility	54	$2,179.83	$2,179.83	$4,287.96
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $311.39 / $311.39 / $612.55	Facility	AS	$311.39	$311.39	$612.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00