Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,733.00 / $4,712.00	Facility		$1,758.00	$2,733.00	$4,712.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $3,997.00 / $7,298.50	Facility		$1,061.00	$3,997.00	$7,298.50
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $392.34 / $392.34 / $770.08	Facility	AS	$392.34	$392.34	$770.08
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,544.66 / $2,487.73 / $7,218.72	Facility		$1,544.66	$2,487.73	$7,218.72
Health New England Facility/Professional Facility Modifier Low / Median / High Price $23,676.09 / $23,676.09 / $23,676.09	Facility		$23,676.09	$23,676.09	$23,676.09
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,764.00 / $9,039.00	Facility		$55.00	$3,764.00	$9,039.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $392.34 / $392.34 / $770.08	Facility	AS	$392.34	$392.34	$770.08
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