Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $2,083.00 / $3,685.00	Facility		$659.00	$2,083.00	$3,685.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $471.04 / $471.04 / $471.04	Facility	54	$471.04	$471.04	$471.04
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $771.13 / $2,205.98 / $4,448.09	Facility		$771.13	$2,205.98	$4,448.09
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,220.23 / $1,220.23 / $3,154.80	Facility	54	$1,220.23	$1,220.23	$3,154.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $684.30 / $1,349.66 / $6,679.00	Facility		$684.30	$1,349.66	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,217.00 / $12,000.00	Facility		$627.00	$2,217.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,220.23 / $1,220.23 / $3,154.80	Facility	54	$1,220.23	$1,220.23	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00