Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.03 / $2,083.00 / $3,625.00	Facility		$685.03	$2,083.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $119.48 / $119.48 / $119.48	Facility	54	$119.48	$119.48	$119.48
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $409.23 / $730.12 / $3,445.00	Facility		$409.23	$730.12	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $445.65 / $445.65 / $651.70	Facility	54	$445.65	$445.65	$651.70
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $139.51 / $177.04 / $226.29	Facility	54	$139.51	$177.04	$226.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $176.14 / $363.40 / $6,679.00	Facility		$176.14	$363.40	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,856.00 / $12,000.00	Facility		$627.00	$1,856.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $445.65 / $445.65 / $651.70	Facility	54	$445.65	$445.65	$651.70
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00