Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.57 / $2,618.00 / $4,806.64	Facility		$205.57	$2,618.00	$4,806.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.79 / $102.79 / $102.79	Facility	52	$102.79	$102.79	$102.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.11 / $41.11 / $41.11	Facility	53	$41.11	$41.11	$41.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $483.37 / $2,338.00 / $16,394.00	Facility		$483.37	$2,338.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $400.87 / $3,716.72 / $3,716.72	Facility	52	$400.87	$3,716.72	$3,716.72
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $100.22 / $929.18 / $929.18	Facility	53	$100.22	$929.18	$929.18
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $313.18 / $2,903.69 / $2,903.69	Facility	62	$313.18	$2,903.69	$2,903.69
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $50.11 / $464.59 / $464.59	Facility	AS	$50.11	$464.59	$464.59
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 $197.96 / $506.00 / $6,679.00	Facility		$197.96	$506.00	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,623.15 / $2,623.15 / $2,623.15	Facility		$2,623.15	$2,623.15	$2,623.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $3,649.00 / $16,394.00	Facility		$822.00	$3,649.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $400.87 / $3,716.72 / $3,716.72	Facility	52	$400.87	$3,716.72	$3,716.72
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $100.22 / $929.18 / $929.18	Facility	53	$100.22	$929.18	$929.18
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $313.18 / $2,903.69 / $2,903.69	Facility	62	$313.18	$2,903.69	$2,903.69
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $50.11 / $464.59 / $464.59	Facility	AS	$50.11	$464.59	$464.59
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