Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.82 / $2,067.00 / $3,625.00	Facility		$384.82	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.14 / $44.14 / $192.41	Facility	52	$44.14	$44.14	$192.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $317.10 / $503.73	Professional		$88.28	$317.10	$503.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $259.49 / $1,345.23 / $3,804.00	Facility		$259.49	$1,345.23	$3,804.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $415.26 / $415.26 / $415.26	Facility	52	$415.26	$415.26	$415.26
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $689.68 / $1,703.21	Professional		$119.32	$689.68	$1,703.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.51 / $161.63 / $310.51	Facility		$126.51	$161.63	$310.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $242.57 / $1,033.47	Professional		$121.30	$242.57	$1,033.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $625.04 / $1,451.59	Professional		$192.69	$625.04	$1,451.59
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $214.32 / $6,679.00	Facility		$107.16	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $616.64 / $1,102.51	Professional		$488.00	$616.64	$1,102.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $513.64 / $1,137.71	Professional		$134.77	$513.64	$1,137.71
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,926.42 / $2,926.42 / $2,926.42	Facility		$2,926.42	$2,926.42	$2,926.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $211.93 / $211.93	Professional		$211.93	$211.93	$211.93
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $977.84 / $1,930.00 / $7,161.00	Facility		$977.84	$1,930.00	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $415.26 / $415.26 / $415.26	Facility	52	$415.26	$415.26	$415.26
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $558.40 / $1,039.89 / $3,012.64	Professional		$558.40	$1,039.89	$3,012.64
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 $513.64 / $764.42 / $1,703.21	Professional		$513.64	$764.42	$1,703.21