Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.12 / $2,618.00 / $3,625.00	Facility		$356.12	$2,618.00	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $178.06 / $178.06 / $178.06	Facility	52	$178.06	$178.06	$178.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $71.22 / $71.22 / $71.22	Facility	53	$71.22	$71.22	$71.22
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $274.42 / $1,267.00 / $4,569.00	Facility		$274.42	$1,267.00	$4,569.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $505.46 / $2,722.36 / $2,722.36	Facility	52	$505.46	$2,722.36	$2,722.36
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $126.36 / $680.59 / $680.59	Facility	53	$126.36	$680.59	$680.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $748.00 / $1,408.94	Facility		$680.00	$748.00	$1,408.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $386.93 / $6,679.00	Facility		$242.85	$386.93	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,866.13 / $4,755.00	Facility		$55.00	$1,866.13	$4,755.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $505.46 / $2,722.36 / $2,722.36	Facility	52	$505.46	$2,722.36	$2,722.36
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $126.36 / $680.59 / $680.59	Facility	53	$126.36	$680.59	$680.59
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