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 / $5,454.00	Facility		$1,758.00	$2,747.00	$5,454.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $549.33 / $4,006.00 / $12,850.00	Facility		$549.33	$4,006.00	$12,850.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $62.28 / $62.28 / $1,279.44	Facility	AS	$62.28	$62.28	$1,279.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $390.08 / $8,090.00	Facility		$244.45	$390.08	$8,090.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,916.00 / $13,486.75	Facility		$55.00	$4,916.00	$13,486.75
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $62.28 / $62.28 / $1,279.44	Facility	AS	$62.28	$62.28	$1,279.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $6,280.00 / $16,881.04	Facility		$2,324.00	$6,280.00	$16,881.04