Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.44 / $2,900.00 / $7,276.00	Facility		$545.44	$2,900.00	$7,276.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $272.72 / $272.72 / $272.72	Facility	52	$272.72	$272.72	$272.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $109.09 / $109.09 / $109.09	Facility	53	$109.09	$109.09	$109.09
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.35 / $4,006.00 / $9,967.00	Facility		$818.35	$4,006.00	$9,967.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,900.39 / $2,900.39 / $2,900.39	Facility	52	$2,900.39	$2,900.39	$2,900.39
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $725.10 / $725.10 / $725.10	Facility	53	$725.10	$725.10	$725.10
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $2,265.92 / $2,265.92 / $2,265.92	Facility	62	$2,265.92	$2,265.92	$2,265.92
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,176.80 / $8,090.00	Facility		$300.00	$1,176.80	$8,090.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $12,950.30 / $14,026.43 / $14,389.40	Facility		$12,950.30	$14,026.43	$14,389.40
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,063.00 / $12,850.00	Facility		$55.00	$5,063.00	$12,850.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,900.39 / $2,900.39 / $2,900.39	Facility	52	$2,900.39	$2,900.39	$2,900.39
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $725.10 / $725.10 / $725.10	Facility	53	$725.10	$725.10	$725.10
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $2,265.92 / $2,265.92 / $2,265.92	Facility	62	$2,265.92	$2,265.92	$2,265.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00