Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,089.30 / $3,715.35	Facility		$371.54	$2,089.30	$3,715.35
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	54	$851.14	$851.14	$851.14
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,071.52 / $19,498.45	Facility		$467.74	$1,071.52	$19,498.45
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	52	$2,089.30	$2,089.30	$2,089.30
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	54	$1,819.70	$1,819.70	$1,819.70
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $812.83	Facility	54	$354.81	$354.81	$812.83
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $7,079.46	Facility		$380.19	$1,096.48	$7,079.46
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,071.52 / $19,498.45	Facility		$478.63	$1,071.52	$19,498.45
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	52	$2,089.30	$2,089.30	$2,089.30
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	54	$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $2,818.38	Facility		$501.19	$1,819.70	$2,818.38