Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $2,410.00 / $3,469.00	Facility		$359.59	$2,410.00	$3,469.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.62 / $101.62 / $101.62	Facility	52	$101.62	$101.62	$101.62
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $473.92 / $2,338.00 / $16,394.00	Facility		$473.92	$2,338.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $396.26 / $3,716.72 / $3,716.72	Facility	52	$396.26	$3,716.72	$3,716.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,527.80 / $2,000.00	Facility		$593.00	$1,527.80	$2,000.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $506.00 / $6,679.00	Facility		$193.80	$506.00	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,586.71 / $1,928.58 / $5,406.70	Facility		$1,586.71	$1,928.58	$5,406.70
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $3,592.00 / $16,394.00	Facility		$822.00	$3,592.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $396.26 / $3,716.72 / $3,716.72	Facility	52	$396.26	$3,716.72	$3,716.72
Tufts Facility/Professional Facility Modifier Low / Median / High Price $192.97 / $2,252.79 / $3,636.00	Facility		$192.97	$2,252.79	$3,636.00
United Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,338.00 / $4,952.00	Facility		$669.00	$2,338.00	$4,952.00