Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.21 / $2,747.00 / $4,806.64	Facility		$1,598.21	$2,747.00	$4,806.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $799.11 / $799.11 / $799.11	Facility	52	$799.11	$799.11	$799.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $14,819.60	Facility		$55.00	$2,854.00	$14,819.60
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $3,248.06 / $6,344.10 / $6,344.10	Facility	52	$3,248.06	$6,344.10	$6,344.10
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $406.01 / $793.01 / $793.01	Facility	AS	$406.01	$793.01	$793.01
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 / $2,533.88 / $6,679.00	Facility		$300.00	$2,533.88	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,446.00 / $14,819.60	Facility		$55.00	$2,446.00	$14,819.60
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $3,248.06 / $6,344.10 / $6,344.10	Facility	52	$3,248.06	$6,344.10	$6,344.10
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $406.01 / $793.01 / $793.01	Facility	AS	$406.01	$793.01	$793.01
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