Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $2,618.00 / $3,625.00	Facility		$40.02	$2,618.00	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.01 / $20.01 / $20.01	Facility	52	$20.01	$20.01	$20.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.00 / $8.00 / $8.00	Facility	53	$8.00	$8.00	$8.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $612.10 / $2,391.00	Facility		$55.00	$612.10	$2,391.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $81.08 / $910.60 / $910.60	Facility	52	$81.08	$910.60	$910.60
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $20.27 / $227.65 / $227.65	Facility	53	$20.27	$227.65	$227.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $392.90 / $471.28	Facility		$50.00	$392.90	$471.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $168.26 / $6,679.00	Facility		$46.60	$168.26	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $160.88 / $715.83	Facility		$160.88	$160.88	$715.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $953.00 / $2,733.00	Facility		$55.00	$953.00	$2,733.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $81.08 / $910.60 / $910.60	Facility	52	$81.08	$910.60	$910.60
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $20.27 / $227.65 / $227.65	Facility	53	$20.27	$227.65	$227.65
United Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $1,694.00 / $2,796.00	Facility		$308.00	$1,694.00	$2,796.00