Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.01 / $2,618.00 / $3,469.00	Facility		$332.01	$2,618.00	$3,469.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $166.01 / $166.01 / $166.01	Facility	52	$166.01	$166.01	$166.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.40 / $66.40 / $66.40	Facility	53	$66.40	$66.40	$66.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $765.17 / $2,813.24 / $16,394.00	Facility		$765.17	$2,813.24	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $650.97 / $8,067.84 / $8,067.84	Facility	52	$650.97	$8,067.84	$8,067.84
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $162.74 / $2,016.96 / $2,016.96	Facility	53	$162.74	$2,016.96	$2,016.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $652.29 / $4,175.47	Facility		$593.00	$652.29	$4,175.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $664.24 / $6,679.00	Facility		$312.14	$664.24	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,488.77 / $2,647.40 / $7,011.66	Facility		$2,488.77	$2,647.40	$7,011.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $4,249.00 / $16,394.00	Facility		$1,061.00	$4,249.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $650.97 / $8,067.84 / $8,067.84	Facility	52	$650.97	$8,067.84	$8,067.84
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $162.74 / $2,016.96 / $2,016.96	Facility	53	$162.74	$2,016.96	$2,016.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,854.00 / $5,714.00	Facility		$1,061.00	$2,854.00	$5,714.00