Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.76 / $2,747.00 / $7,625.00	Facility		$1,168.76	$2,747.00	$7,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $584.38 / $584.38 / $584.38	Facility	52	$584.38	$584.38	$584.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $233.75 / $233.75 / $233.75	Facility	53	$233.75	$233.75	$233.75
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,733.00 / $11,004.64	Facility		$55.00	$2,733.00	$11,004.64
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,406.42 / $4,701.51 / $4,701.51	Facility	52	$2,406.42	$4,701.51	$4,701.51
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $601.61 / $1,175.38 / $1,175.38	Facility	53	$601.61	$1,175.38	$1,175.38
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $300.80 / $587.69 / $587.69	Facility	AS	$300.80	$587.69	$587.69
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 $377.00 / $1,880.82 / $6,679.00	Facility		$377.00	$1,880.82	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,446.00 / $11,004.64	Facility		$55.00	$2,446.00	$11,004.64
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,406.42 / $4,701.51 / $4,701.51	Facility	52	$2,406.42	$4,701.51	$4,701.51
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $601.61 / $1,175.38 / $1,175.38	Facility	53	$601.61	$1,175.38	$1,175.38
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $300.80 / $587.69 / $587.69	Facility	AS	$300.80	$587.69	$587.69
United Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $2,446.00 / $4,050.00	Facility		$789.00	$2,446.00	$4,050.00