Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $7,625.00	Facility		$1,758.00	$2,747.00	$7,625.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $2,854.00 / $5,737.16	Facility		$846.21	$2,854.00	$5,737.16
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $191.16 / $191.16 / $646.16	Facility	AS	$191.16	$191.16	$646.16
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $752.94 / $1,622.40 / $6,679.00	Facility		$752.94	$1,622.40	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,903.13 / $3,903.13 / $3,903.13	Facility		$3,903.13	$3,903.13	$3,903.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,543.65 / $9,039.00	Facility		$55.00	$3,543.65	$9,039.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $191.16 / $191.16 / $646.16	Facility	AS	$191.16	$191.16	$646.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00