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 $256.13 / $256.13 / $256.13	Facility	54	$256.13	$256.13	$256.13
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $975.86 / $3,445.00	Facility		$464.01	$975.86	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $713.11 / $713.11 / $1,422.00	Facility	54	$713.11	$713.11	$1,422.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $399.82 / $869.38 / $6,679.00	Facility		$399.82	$869.38	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $586.98 / $586.98 / $586.98	Facility		$586.98	$586.98	$586.98
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,856.00 / $12,000.00	Facility		$627.00	$1,856.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $713.11 / $713.11 / $1,422.00	Facility	54	$713.11	$713.11	$1,422.00
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