Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.10 / $2,826.85 / $8,498.00	Facility		$941.10	$2,826.85	$8,498.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $898.43 / $898.43 / $3,154.80	Facility	54	$898.43	$898.43	$3,154.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $502.78 / $1,090.09 / $6,679.00	Facility		$502.78	$1,090.09	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,592.00 / $12,000.00	Facility		$1,640.00	$3,592.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $898.43 / $898.43 / $3,154.80	Facility	54	$898.43	$898.43	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00