Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,162.50 / $3,367.00 / $8,028.99	Facility		$2,162.50	$3,367.00	$8,028.99
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $343.00 / $343.00 / $343.00	Facility	52	$343.00	$343.00	$343.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,675.78 / $5,389.76 / $15,421.00	Facility		$1,675.78	$5,389.76	$15,421.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $1,427.10 / $12,302.24 / $12,302.24	Facility	52	$1,427.10	$12,302.24	$12,302.24
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $178.39 / $1,537.78 / $1,537.78	Facility	AS	$178.39	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $2,950.00 / $5,483.49	Facility		$1,770.00	$2,950.00	$5,483.49
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $707.41 / $1,517.24 / $6,679.00	Facility		$707.41	$1,517.24	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,863.50 / $4,842.72 / $11,151.81	Facility		$3,863.50	$4,842.72	$11,151.81
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $6,078.00 / $16,223.75	Facility		$1,697.00	$6,078.00	$16,223.75
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $1,427.10 / $12,302.24 / $12,302.24	Facility	52	$1,427.10	$12,302.24	$12,302.24
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $178.39 / $1,537.78 / $1,537.78	Facility	AS	$178.39	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $4,671.00 / $13,017.00	Facility		$1,697.00	$4,671.00	$13,017.00