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 $1,639.89 / $6,883.00 / $26,542.00	Facility		$1,639.89	$6,883.00	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $688.70 / $1,462.52 / $6,679.00	Facility		$688.70	$1,462.52	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $18,794.41 / $18,794.41 / $18,794.41	Facility		$18,794.41	$18,794.41	$18,794.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $7,292.00 / $26,542.00	Facility		$2,386.00	$7,292.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,017.00	Facility		$2,386.00	$5,904.00	$13,017.00