Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,048.00	Facility		$1,924.00	$2,747.00	$5,048.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,007.47 / $4,402.00 / $9,401.00	Facility		$1,007.47	$4,402.00	$9,401.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $117.37 / $117.37 / $849.00	Facility	AS	$117.37	$117.37	$849.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $456.37 / $987.58 / $6,679.00	Facility		$456.37	$987.58	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,583.45 / $4,583.45 / $4,583.45	Facility		$4,583.45	$4,583.45	$4,583.45
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,689.52 / $5,268.00 / $26,542.00	Facility		$1,689.52	$5,268.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $117.37 / $117.37 / $849.00	Facility	AS	$117.37	$117.37	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00