Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.83 / $2,747.00 / $4,806.64	Facility		$818.83	$2,747.00	$4,806.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $409.42 / $409.42 / $409.42	Facility	52	$409.42	$409.42	$409.42
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,069.90 / $7,690.00	Facility		$55.00	$2,069.90	$7,690.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $1,693.92 / $3,308.82 / $3,308.82	Facility	52	$1,693.92	$3,308.82	$3,308.82
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 $714.00 / $1,783.38 / $6,679.00	Facility		$714.00	$1,783.38	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,634.49 / $4,634.49 / $4,634.49	Facility		$4,634.49	$4,634.49	$4,634.49
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,446.00 / $7,690.00	Facility		$55.00	$2,446.00	$7,690.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $1,693.92 / $3,308.82 / $3,308.82	Facility	52	$1,693.92	$3,308.82	$3,308.82
United Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $2,733.00 / $4,256.00	Facility		$822.00	$2,733.00	$4,256.00