Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.90 / $2,747.00 / $5,048.00	Facility		$1,023.90	$2,747.00	$5,048.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $511.95 / $511.95 / $511.95	Facility	52	$511.95	$511.95	$511.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.35 / $4,006.00 / $9,691.28	Facility		$818.35	$4,006.00	$9,691.28
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,120.64 / $4,161.54 / $4,161.54	Facility	52	$2,120.64	$4,161.54	$4,161.54
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $265.08 / $520.19 / $520.19	Facility	AS	$265.08	$520.19	$520.19
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 $714.00 / $1,909.00 / $6,679.00	Facility		$714.00	$1,909.00	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $5,413.00 / $9,849.00	Facility		$1,591.00	$5,413.00	$9,849.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,120.64 / $4,161.54 / $4,161.54	Facility	52	$2,120.64	$4,161.54	$4,161.54
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $265.08 / $520.19 / $520.19	Facility	AS	$265.08	$520.19	$520.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $4,916.00 / $12,850.00	Facility		$1,591.00	$4,916.00	$12,850.00