Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.07 / $2,663.12 / $4,410.00	Facility		$453.07	$2,663.12	$4,410.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.90 / $225.90 / $339.80	Facility	54	$225.90	$225.90	$339.80
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $714.79 / $1,078.00 / $3,445.00	Facility		$714.79	$1,078.00	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,147.58 / $1,147.58 / $1,147.58	Facility	54	$1,147.58	$1,147.58	$1,147.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.48 / $499.82 / $882.00	Facility		$384.48	$499.82	$882.00
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $269.14 / $349.34 / $570.58	Facility	54	$269.14	$349.34	$570.58
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $322.20 / $701.06 / $6,679.00	Facility		$322.20	$701.06	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $634.30 / $634.30 / $634.30	Facility		$634.30	$634.30	$634.30
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,206.19 / $26,542.00	Facility		$627.00	$2,206.19	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,147.58 / $1,147.58 / $1,147.58	Facility	54	$1,147.58	$1,147.58	$1,147.58
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00