Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $2,747.00 / $5,454.00	Facility		$159.63	$2,747.00	$5,454.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.81 / $79.81 / $79.81	Facility	52	$79.81	$79.81	$79.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $478.78 / $1,759.00 / $4,256.00	Facility		$478.78	$1,759.00	$4,256.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $407.46 / $407.46 / $786.53	Facility	52	$407.46	$407.46	$786.53
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $318.33 / $318.33 / $614.48	Facility	62	$318.33	$318.33	$614.48
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $50.93 / $50.93 / $98.32	Facility	AS	$50.93	$50.93	$98.32
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $202.04 / $320.64 / $8,090.00	Facility		$202.04	$320.64	$8,090.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,078.00 / $5,876.00	Facility		$55.00	$2,078.00	$5,876.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $407.46 / $407.46 / $786.53	Facility	52	$407.46	$407.46	$786.53
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $318.33 / $318.33 / $614.48	Facility	62	$318.33	$318.33	$614.48
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $50.93 / $50.93 / $98.32	Facility	AS	$50.93	$50.93	$98.32
United Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $3,325.00 / $4,662.00	Facility		$953.00	$3,325.00	$4,662.00