Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $3,111.85 / $9,007.00	Facility		$2,663.12	$3,111.85	$9,007.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $252.56 / $252.56 / $252.56	Facility	52	$252.56	$252.56	$252.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $101.02 / $101.02 / $101.02	Facility	53	$101.02	$101.02	$101.02
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,182.36 / $5,097.00 / $17,629.83	Facility		$1,182.36	$5,097.00	$17,629.83
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $25,403.20 / $25,403.20 / $25,403.20	Facility	52	$25,403.20	$25,403.20	$25,403.20
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $6,350.80 / $6,350.80 / $6,350.80	Facility	53	$6,350.80	$6,350.80	$6,350.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $14,868.13 / $20,251.00	Facility		$3,700.00	$14,868.13	$20,251.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $508.53 / $1,057.22 / $6,679.00	Facility		$508.53	$1,057.22	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,186.33 / $6,186.33 / $10,064.12	Facility		$6,186.33	$6,186.33	$10,064.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $23,804.00	Facility		$2,386.00	$6,078.00	$23,804.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $25,403.20 / $25,403.20 / $25,403.20	Facility	52	$25,403.20	$25,403.20	$25,403.20
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $6,350.80 / $6,350.80 / $6,350.80	Facility	53	$6,350.80	$6,350.80	$6,350.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $16,925.00	Facility		$2,386.00	$6,078.00	$16,925.00