Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,363.00 / $8,317.00	Facility		$1,961.00	$3,363.00	$8,317.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,384.36 / $17,384.36 / $17,384.36	Facility	50	$17,384.36	$17,384.36	$17,384.36
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,329.06 / $4,705.13 / $26,542.00	Facility		$1,329.06	$4,705.13	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $141.68 / $1,537.78 / $1,537.78	Facility	AS	$141.68	$1,537.78	$1,537.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.00 / $1,457.50 / $6,366.94	Facility		$1,325.00	$1,457.50	$6,366.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $561.57 / $1,209.44 / $6,679.00	Facility		$561.57	$1,209.44	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,128.58 / $4,320.31 / $13,047.62	Facility		$1,128.58	$4,320.31	$13,047.62
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $6,883.00 / $26,542.00	Facility		$1,697.00	$6,883.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $141.68 / $1,537.78 / $1,537.78	Facility	AS	$141.68	$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