Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.49 / $2,663.12 / $7,625.00	Facility		$1,621.49	$2,663.12	$7,625.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,867.18 / $5,508.58 / $25,526.57	Facility		$1,867.18	$5,508.58	$25,526.57
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $286.66 / $286.66 / $4,708.97	Facility	AS	$286.66	$286.66	$4,708.97
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,123.35 / $1,909.00 / $6,679.00	Facility		$1,123.35	$1,909.00	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,703.84 / $4,115.38 / $23,406.55	Facility		$3,703.84	$4,115.38	$23,406.55
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $26,542.00	Facility		$2,386.00	$6,078.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $286.66 / $286.66 / $4,708.97	Facility	AS	$286.66	$286.66	$4,708.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,017.00	Facility		$2,386.00	$5,904.00	$13,017.00