Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $3,367.00 / $8,904.04	Facility		$2,528.00	$3,367.00	$8,904.04
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,815.40 / $6,078.00 / $18,364.00	Facility		$1,815.40	$6,078.00	$18,364.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $1,710.70 / $1,710.70 / $11,796.97	Facility	62	$1,710.70	$1,710.70	$11,796.97
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $273.70 / $273.70 / $1,887.52	Facility	AS	$273.70	$273.70	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $3,000.00	Facility		$2,000.00	$2,000.00	$3,000.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $1,811.48 / $6,679.00	Facility		$1,098.09	$1,811.48	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,146.98 / $6,513.26 / $20,360.66	Facility		$2,146.98	$6,513.26	$20,360.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $7,292.00 / $25,000.00	Facility		$2,386.00	$7,292.00	$25,000.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $1,710.70 / $1,710.70 / $11,796.97	Facility	62	$1,710.70	$1,710.70	$11,796.97
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $273.70 / $273.70 / $1,887.52	Facility	AS	$273.70	$273.70	$1,887.52
Tufts Facility/Professional Facility Modifier Low / Median / High Price $3,436.36 / $8,657.60 / $13,692.54	Facility		$3,436.36	$8,657.60	$13,692.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,058.00	Facility		$2,386.00	$5,904.00	$13,058.00