Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $7,625.00	Facility		$1,924.00	$2,747.00	$7,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $596.38 / $596.38 / $596.38	Facility	52	$596.38	$596.38	$596.38
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.35 / $3,589.67 / $9,401.98	Facility		$818.35	$3,589.67	$9,401.98
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,961.90 / $2,961.90 / $5,744.80	Facility	52	$2,961.90	$2,961.90	$5,744.80
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $2,313.98 / $2,313.98 / $4,488.13	Facility	62	$2,313.98	$2,313.98	$4,488.13
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $370.24 / $370.24 / $718.10	Facility	AS	$370.24	$370.24	$718.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.77 / $2,268.52 / $6,679.00	Facility		$1,435.77	$2,268.52	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,341.72 / $4,341.72 / $4,341.72	Facility		$4,341.72	$4,341.72	$4,341.72
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,997.00 / $11,217.00	Facility		$55.00	$3,997.00	$11,217.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,961.90 / $2,961.90 / $5,744.80	Facility	52	$2,961.90	$2,961.90	$5,744.80
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $2,313.98 / $2,313.98 / $4,488.13	Facility	62	$2,313.98	$2,313.98	$4,488.13
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $370.24 / $370.24 / $718.10	Facility	AS	$370.24	$370.24	$718.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00