Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.63 / $2,747.00 / $20,000.00	Facility		$627.63	$2,747.00	$20,000.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $125.53 / $125.53 / $125.53	Facility	53	$125.53	$125.53	$125.53
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,478.82 / $5,385.51 / $30,922.00	Facility		$1,478.82	$5,385.51	$30,922.00
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 $635.01 / $1,320.10 / $6,679.00	Facility		$635.01	$1,320.10	$6,679.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $31,754.00	Facility		$2,386.00	$6,078.00	$31,754.00
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 / $24,167.00	Facility		$2,386.00	$6,078.00	$24,167.00