Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.66 / $2,747.00 / $4,806.64	Facility		$229.66	$2,747.00	$4,806.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.83 / $114.83 / $114.83	Facility	52	$114.83	$114.83	$114.83
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $941.10 / $3,729.00	Facility		$55.00	$941.10	$3,729.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $467.15 / $904.90 / $904.90	Facility	52	$467.15	$904.90	$904.90
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $58.39 / $113.11 / $113.11	Facility	AS	$58.39	$113.11	$113.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $735.00 / $748.00	Facility		$680.00	$735.00	$748.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $235.46 / $490.32 / $6,679.00	Facility		$235.46	$490.32	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $3,729.00	Facility		$55.00	$1,300.00	$3,729.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $467.15 / $904.90 / $904.90	Facility	52	$467.15	$904.90	$904.90
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $58.39 / $113.11 / $113.11	Facility	AS	$58.39	$113.11	$113.11
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