Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $5,623.41	Facility		$1,584.89	$3,388.44	$5,623.41
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,089.30 / $14,791.08	Facility		$56.23	$2,089.30	$14,791.08
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility	52	$11,748.98	$11,748.98	$11,748.98
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $741.31 / $1,380.38	Facility		$50.12	$741.31	$1,380.38
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,398.83 / $8,511.38	Facility		$302.00	$2,398.83	$8,511.38
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,454.71 / $4,677.35	Facility		$295.12	$2,454.71	$4,677.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,089.30 / $14,791.08	Facility		$56.23	$2,089.30	$14,791.08
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility	52	$11,748.98	$11,748.98	$11,748.98
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,754.23 / $4,677.35	Facility		$794.33	$2,754.23	$4,677.35