Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,470.59 / $2,949.02 / $7,190.00	Facility		$2,470.59	$2,949.02	$7,190.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $578.98 / $578.98 / $578.98	Facility	54	$578.98	$578.98	$578.98
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 $762.20 / $1,651.56 / $6,679.00	Facility		$762.20	$1,651.56	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,154.57 / $1,154.57 / $1,154.57	Facility		$1,154.57	$1,154.57	$1,154.57
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