Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $1,294.00 / $2,747.00	Facility		$252.64	$1,294.00	$2,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.32 / $28.32 / $50.48	Facility	52	$28.32	$28.32	$50.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $134.41 / $460.00	Professional		$61.58	$134.41	$460.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $175.76 / $1,345.23 / $3,804.00	Facility		$175.76	$1,345.23	$3,804.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $281.27 / $281.27 / $281.27	Facility	52	$281.27	$281.27	$281.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $193.67 / $529.12	Professional		$80.81	$193.67	$529.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $109.61 / $206.01	Facility		$85.79	$109.61	$206.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $203.46 / $347.46	Professional		$116.40	$203.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $227.43 / $389.42	Professional		$128.62	$227.43	$389.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $168.26 / $6,679.00	Facility		$83.43	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $193.56 / $346.07	Professional		$153.18	$193.56	$346.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $196.87 / $362.83	Professional		$91.10	$196.87	$362.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $1,201.10 / $1,954.92	Facility		$590.65	$1,201.10	$1,954.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $206.36 / $224.47	Professional		$98.65	$206.36	$224.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $1,930.00 / $7,161.00	Facility		$351.60	$1,930.00	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $281.27 / $281.27 / $281.27	Facility	52	$281.27	$281.27	$281.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $291.20 / $963.36	Professional		$154.01	$291.20	$963.36
Tufts Facility/Professional Facility Modifier Low / Median / High Price $835.56 / $952.54 / $1,169.78	Facility		$835.56	$952.54	$1,169.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,408.00 / $5,683.00	Facility		$1,106.00	$2,408.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $211.40 / $442.00	Professional		$148.72	$211.40	$442.00