Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.50 / $2,537.00 / $5,383.38	Facility		$837.50	$2,537.00	$5,383.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.68 / $1,122.15 / $2,729.35	Professional		$695.68	$1,122.15	$2,729.35
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $727.08 / $727.08 / $920.60	Professional	AS	$727.08	$727.08	$920.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.10 / $4,983.00 / $6,687.02	Facility		$941.10	$4,983.00	$6,687.02
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $436.07 / $436.07 / $436.07	Facility	AS	$436.07	$436.07	$436.07
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $962.30 / $1,677.61 / $6,285.28	Professional		$962.30	$1,677.61	$6,285.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.10 / $1,330.03 / $2,346.98	Facility		$1,023.10	$1,330.03	$2,346.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,472.24 / $1,981.20 / $2,817.31	Professional		$1,472.24	$1,981.20	$2,817.31
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $176.10 / $176.10 / $289.70	Professional	AS	$176.10	$176.10	$289.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.38 / $1,617.46 / $3,264.09	Professional		$993.38	$1,617.46	$3,264.09
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $865.23 / $1,865.50 / $6,679.00	Facility		$865.23	$1,865.50	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.78 / $1,505.20 / $2,077.77	Professional		$1,198.78	$1,505.20	$2,077.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,075.20 / $2,225.33 / $3,290.11	Professional		$1,075.20	$2,225.33	$3,290.11
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,035.29 / $3,013.20 / $4,784.74	Facility		$2,035.29	$3,013.20	$4,784.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,707.72 / $1,751.06 / $2,614.13	Professional		$1,707.72	$1,751.06	$2,614.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,572.00 / $9,401.00	Facility		$55.00	$5,572.00	$9,401.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $436.07 / $436.07 / $436.07	Facility	AS	$436.07	$436.07	$436.07
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,181.95 / $1,922.82 / $7,812.24	Professional		$1,181.95	$1,922.82	$7,812.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,268.00 / $11,283.56	Facility		$2,155.00	$5,268.00	$11,283.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.82 / $1,490.30 / $3,050.95	Professional		$1,021.82	$1,490.30	$3,050.95