Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.72 / $2,747.00 / $6,524.75	Facility		$1,477.72	$2,747.00	$6,524.75
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $738.86 / $738.86 / $738.86	Facility	52	$738.86	$738.86	$738.86
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,123.02 / $4,757.04 / $13,801.52	Facility		$1,123.02	$4,757.04	$13,801.52
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $3,037.26 / $5,907.44 / $5,907.44	Facility	52	$3,037.26	$5,907.44	$5,907.44
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $379.66 / $738.43 / $738.43	Facility	AS	$379.66	$738.43	$738.43
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 / $2,358.42 / $6,679.00	Facility		$300.00	$2,358.42	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $14,067.76 / $14,067.76 / $14,067.76	Facility		$14,067.76	$14,067.76	$14,067.76
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $7,027.00 / $13,801.52	Facility		$1,591.00	$7,027.00	$13,801.52
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $3,037.26 / $5,907.44 / $5,907.44	Facility	52	$3,037.26	$5,907.44	$5,907.44
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $379.66 / $738.43 / $738.43	Facility	AS	$379.66	$738.43	$738.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $4,006.00 / $10,764.00	Facility		$1,591.00	$4,006.00	$10,764.00