Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.97 / $2,663.12 / $3,625.00	Facility		$826.97	$2,663.12	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $268.33 / $268.33 / $268.33	Facility	52	$268.33	$268.33	$268.33
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $402.51 / $402.51 / $402.51	Facility	54	$402.51	$402.51	$402.51
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $979.00 / $2,826.85 / $8,498.00	Facility		$979.00	$2,826.85	$8,498.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $1,200.66 / $1,200.66 / $3,605.48	Facility	52	$1,200.66	$1,200.66	$3,605.48
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,050.58 / $1,050.58 / $3,154.80	Facility	54	$1,050.58	$1,050.58	$3,154.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $588.76 / $1,275.02 / $6,679.00	Facility		$588.76	$1,275.02	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,763.01 / $1,763.01 / $3,950.48	Facility		$1,763.01	$1,763.01	$3,950.48
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,592.00 / $16,394.00	Facility		$1,640.00	$3,592.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $1,200.66 / $1,200.66 / $3,605.48	Facility	52	$1,200.66	$1,200.66	$3,605.48
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,050.58 / $1,050.58 / $3,154.80	Facility	54	$1,050.58	$1,050.58	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00