Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $8,912.51	Facility		$2,691.53	$4,677.35	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,760.83 / $17,378.01 / $17,378.01	Facility	50	$6,760.83	$17,378.01	$17,378.01
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,888.44 / $20,892.96	Facility		$1,318.26	$5,888.44	$20,892.96
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $6,309.57	Facility		$1,318.26	$1,445.44	$6,309.57
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $7,079.46	Facility		$549.54	$1,174.90	$7,079.46
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,888.44 / $15,488.17	Facility		$851.14	$5,888.44	$15,488.17
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,888.44 / $13,182.57	Facility		$4,073.80	$5,888.44	$13,182.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,888.44 / $20,892.96	Facility		$1,318.26	$5,888.44	$20,892.96
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $15,488.17	Facility		$1,698.24	$6,025.60	$15,488.17