Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.54 / $2,067.00 / $3,625.00	Facility		$568.54	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $184.50 / $184.50 / $184.50	Facility	52	$184.50	$184.50	$184.50
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $276.75 / $276.75 / $857.87	Facility	54	$276.75	$276.75	$857.87
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $1,044.17 / $3,445.00	Facility		$464.01	$1,044.17	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $874.77 / $874.77 / $1,743.33	Facility	52	$874.77	$874.77	$1,743.33
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $765.42 / $765.42 / $1,525.41	Facility	54	$765.42	$765.42	$1,525.41
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $358.32 / $454.71 / $581.20	Facility	54	$358.32	$454.71	$581.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $429.61 / $933.36 / $6,679.00	Facility		$429.61	$933.36	$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 52 Low / Median / High Price $874.77 / $874.77 / $1,743.33	Facility	52	$874.77	$874.77	$1,743.33
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $765.42 / $765.42 / $1,525.41	Facility	54	$765.42	$765.42	$1,525.41
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