Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.87 / $1,823.00 / $3,363.00	Facility		$362.87	$1,823.00	$3,363.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.33 / $32.33 / $72.56	Facility	53	$32.33	$32.33	$72.56
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $372.42 / $1,550.33 / $12,000.00	Facility		$372.42	$1,550.33	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $151.40 / $198.62 / $243.02	Facility	53	$151.40	$198.62	$243.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.68 / $288.70 / $514.97	Facility		$224.68	$288.70	$514.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $865.37 / $2,000.00	Facility		$443.00	$865.37	$2,000.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $155.15 / $377.00 / $6,679.00	Facility		$155.15	$377.00	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,673.98 / $1,763.01 / $1,913.07	Facility		$1,673.98	$1,763.01	$1,913.07
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $2,338.00 / $12,000.00	Facility		$822.00	$2,338.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $151.40 / $151.40 / $151.40	Facility	53	$151.40	$151.40	$151.40
United Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,338.00 / $4,952.00	Facility		$669.00	$2,338.00	$4,952.00