Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.56 / $2,894.76 / $6,117.00	Facility		$1,654.56	$2,894.76	$6,117.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $5,336.45 / $20,668.59	Facility		$1,697.00	$5,336.45	$20,668.59
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $2,639.94 / $13,156.44 / $13,156.44	Facility	62	$2,639.94	$13,156.44	$13,156.44
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $422.39 / $2,105.03 / $2,105.03	Facility	AS	$422.39	$2,105.03	$2,105.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $680.00 / $748.00	Facility		$50.00	$680.00	$748.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,647.86 / $6,679.00	Facility		$300.00	$2,647.86	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,600.64 / $5,940.00 / $23,084.24	Facility		$2,600.64	$5,940.00	$23,084.24
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $4,671.00 / $21,130.00	Facility		$1,697.00	$4,671.00	$21,130.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $2,639.94 / $13,156.44 / $13,156.44	Facility	62	$2,639.94	$13,156.44	$13,156.44
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $422.39 / $2,105.03 / $2,105.03	Facility	AS	$422.39	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $4,671.00 / $13,017.00	Facility		$1,697.00	$4,671.00	$13,017.00