Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.22 / $2,747.00 / $4,806.64	Facility		$1,002.22	$2,747.00	$4,806.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $501.11 / $501.11 / $501.11	Facility	52	$501.11	$501.11	$501.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,409.17 / $8,225.42	Facility		$55.00	$2,409.17	$8,225.42
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,057.69 / $4,021.70 / $4,021.70	Facility	52	$2,057.69	$4,021.70	$4,021.70
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $257.20 / $502.71 / $502.71	Facility	AS	$257.20	$502.71	$502.71
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 $377.00 / $1,630.49 / $6,679.00	Facility		$377.00	$1,630.49	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,446.00 / $8,225.42	Facility		$55.00	$2,446.00	$8,225.42
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,057.69 / $4,021.70 / $4,021.70	Facility	52	$2,057.69	$4,021.70	$4,021.70
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $257.20 / $502.71 / $502.71	Facility	AS	$257.20	$502.71	$502.71
United Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $2,446.00 / $4,050.00	Facility		$789.00	$2,446.00	$4,050.00