Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $3,627.00 / $13,240.24	Facility		$2,663.12	$3,627.00	$13,240.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $313.62 / $313.62 / $313.62	Facility	52	$313.62	$313.62	$313.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	53	$125.45	$125.45	$125.45
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,479.89 / $5,385.96 / $30,922.00	Facility		$1,479.89	$5,385.96	$30,922.00
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 $634.92 / $1,319.90 / $6,679.00	Facility		$634.92	$1,319.90	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $11,799.41 / $13,329.39 / $14,580.68	Facility		$11,799.41	$13,329.39	$14,580.68
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 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 / $24,167.00	Facility		$2,386.00	$6,078.00	$24,167.00