Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,618.00 / $3,111.85 / $8,271.00	Facility		$2,618.00	$3,111.85	$8,271.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $594.62 / $594.62 / $594.62	Facility	54	$594.62	$594.62	$594.62
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,764.00 / $9,039.00	Facility		$1,313.00	$3,764.00	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,593.42 / $1,593.42 / $1,593.42	Facility		$1,593.42	$1,593.42	$1,593.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $780.01 / $1,687.86 / $7,315.92	Facility		$780.01	$1,687.86	$7,315.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $7,570.59 / $7,570.59 / $7,570.59	Facility		$7,570.59	$7,570.59	$7,570.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $4,249.00 / $26,542.00	Facility		$1,685.00	$4,249.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,715.00 / $8,766.00	Facility		$1,685.00	$3,715.00	$8,766.00