Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $3,032.81 / $7,203.00	Facility		$1,749.00	$3,032.81	$7,203.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $802.21 / $802.21 / $802.21	Facility	52	$802.21	$802.21	$802.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $6,003.00 / $28,594.87	Facility		$1,804.00	$6,003.00	$28,594.87
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $3,534.21 / $3,534.21 / $6,929.94	Facility	52	$3,534.21	$3,534.21	$6,929.94
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $441.78 / $441.78 / $866.24	Facility	AS	$441.78	$441.78	$866.24
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 / $2,738.20 / $8,090.00	Facility		$300.00	$2,738.20	$8,090.00
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 $3,534.21 / $3,534.21 / $6,929.94	Facility	52	$3,534.21	$3,534.21	$6,929.94
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $441.78 / $441.78 / $866.24	Facility	AS	$441.78	$441.78	$866.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $7,454.00 / $25,809.00	Facility		$2,485.00	$7,454.00	$25,809.00