Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $1,919.00 / $3,625.00	Facility		$121.27	$1,919.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $161.22 / $461.58	Professional		$87.58	$161.22	$461.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $270.68 / $1,251.81 / $7,161.00	Facility		$270.68	$1,251.81	$7,161.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $243.58 / $801.28	Professional		$121.79	$243.58	$801.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.77 / $170.00 / $299.99	Facility		$130.77	$170.00	$299.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.16 / $261.02 / $385.63	Professional		$165.16	$261.02	$385.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $220.38 / $453.79	Professional		$126.97	$220.38	$453.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $214.32 / $6,679.00	Facility		$112.33	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $224.58 / $310.01	Professional		$177.44	$224.58	$310.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $287.02 / $470.48	Professional		$135.58	$287.02	$470.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $591.30 / $1,559.85	Facility		$160.88	$591.30	$1,559.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $169.45 / $296.69	Professional		$126.28	$169.45	$296.69
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $560.50 / $2,078.00 / $11,500.00	Facility		$560.50	$2,078.00	$11,500.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $169.59 / $296.70 / $1,152.00	Professional		$169.59	$296.70	$1,152.00
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 $138.75 / $222.76 / $460.46	Professional		$138.75	$222.76	$460.46