Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,712.00	Facility		$1,758.00	$2,747.00	$4,712.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,349.40 / $4,402.00 / $9,401.00	Facility		$1,349.40	$4,402.00	$9,401.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $153.93 / $153.93 / $849.00	Facility	AS	$153.93	$153.93	$849.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $603.03 / $1,306.56 / $6,679.00	Facility		$603.03	$1,306.56	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,900.83 / $3,900.83 / $3,900.83	Facility		$3,900.83	$3,900.83	$3,900.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,268.00 / $26,542.00	Facility		$2,155.00	$5,268.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $153.93 / $153.93 / $849.00	Facility	AS	$153.93	$153.93	$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