Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.97 / $2,747.00 / $5,270.00	Facility		$607.97	$2,747.00	$5,270.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,494.00 / $2,494.00 / $8,061.08	Facility	50	$2,494.00	$2,494.00	$8,061.08
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,170.63 / $3,245.00 / $26,542.00	Facility		$1,170.63	$3,245.00	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $157.74 / $905.99 / $905.99	Facility	AS	$157.74	$905.99	$905.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.00 / $1,457.50 / $3,751.11	Facility		$1,325.00	$1,457.50	$3,751.11
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $625.09 / $1,341.68 / $7,315.92	Facility		$625.09	$1,341.68	$7,315.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,065.76 / $7,786.71 / $51,248.74	Facility		$4,065.76	$7,786.71	$51,248.74
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $5,572.00 / $26,542.00	Facility		$1,485.00	$5,572.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $157.74 / $905.99 / $905.99	Facility	AS	$157.74	$905.99	$905.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $4,749.26 / $9,401.00	Facility		$1,485.00	$4,749.26	$9,401.00