Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.29 / $2,663.12 / $4,410.00	Facility		$1,046.29	$2,663.12	$4,410.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $456.78 / $456.78 / $523.15	Facility	52	$456.78	$456.78	$523.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $1,303.58 / $3,147.05	Professional		$913.56	$1,303.58	$3,147.05
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,672.00 / $5,815.89 / $11,102.00	Facility		$1,672.00	$5,815.89	$11,102.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $8,418.48 / $8,418.48 / $8,418.48	Facility	52	$8,418.48	$8,418.48	$8,418.48
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,148.21 / $1,929.70 / $9,066.48	Professional		$1,148.21	$1,929.70	$9,066.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.25 / $1,916.77 / $4,714.57	Professional		$1,364.25	$1,916.77	$4,714.57
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,249.88 / $2,017.08 / $6,679.00	Facility		$1,249.88	$2,017.08	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.12 / $1,714.52 / $2,366.71	Professional		$1,381.12	$1,714.52	$2,366.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,561.40 / $2,958.85 / $4,237.50	Professional		$1,561.40	$2,958.85	$4,237.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $3,977.63 / $3,977.63 / $3,977.63	Professional		$3,977.63	$3,977.63	$3,977.63
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,261.00 / $26,542.00	Facility		$2,155.00	$6,261.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $8,418.48 / $8,418.48 / $8,418.48	Facility	52	$8,418.48	$8,418.48	$8,418.48
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,418.40 / $2,067.64 / $9,066.48	Professional		$1,418.40	$2,067.64	$9,066.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.09 / $1,882.61 / $4,229.07	Professional		$1,254.09	$1,882.61	$4,229.07