Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $2,955.00 / $7,203.00	Facility		$1,749.00	$2,955.00	$7,203.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $643.79 / $643.79 / $13,037.77	Facility	52	$643.79	$643.79	$13,037.77
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,530.42 / $6,003.00 / $28,594.87	Facility		$1,530.42	$6,003.00	$28,594.87
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,844.84 / $2,844.84 / $5,591.10	Facility	52	$2,844.84	$2,844.84	$5,591.10
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $355.61 / $355.61 / $698.89	Facility	AS	$355.61	$355.61	$698.89
BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $25,542.85 / $25,542.85 / $26,356.21	Facility	52	$25,542.85	$25,542.85	$26,356.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,633.41 / $20,683.62 / $20,683.62	Facility		$20,633.41	$20,683.62	$20,683.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,204.26 / $8,090.00	Facility		$300.00	$2,204.26	$8,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,050.05 / $3,103.34 / $13,388.89	Facility		$3,050.05	$3,103.34	$13,388.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,238.00 / $20,362.00	Facility		$55.00	$6,238.00	$20,362.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,844.84 / $2,844.84 / $5,591.10	Facility	52	$2,844.84	$2,844.84	$5,591.10
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $355.61 / $355.61 / $698.89	Facility	AS	$355.61	$355.61	$698.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,898.00 / $24,484.00	Facility		$2,485.00	$6,898.00	$24,484.00