Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.38 / $2,809.00 / $6,075.00	Facility		$467.38	$2,809.00	$6,075.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,532.67 / $4,165.93 / $5,529.88	Facility	50	$2,532.67	$4,165.93	$5,529.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.01 / $583.46 / $1,377.00	Professional		$438.01	$583.46	$1,377.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $762.08 / $1,502.58 / $4,838.22	Professional	50	$762.08	$1,502.58	$4,838.22
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $3,315.28 / $8,498.00	Facility		$1,089.00	$3,315.28	$8,498.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $476.45 / $951.66 / $4,001.52	Professional		$476.45	$951.66	$4,001.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.99 / $852.79 / $1,504.84	Facility		$655.99	$852.79	$1,504.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.95 / $943.50 / $2,112.52	Professional		$606.95	$943.50	$2,112.52
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $550.75 / $1,196.11 / $6,679.00	Facility		$550.75	$1,196.11	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $688.60 / $866.69 / $1,196.38	Professional		$688.60	$866.69	$1,196.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $675.02 / $1,356.68 / $1,896.47	Professional		$675.02	$1,356.68	$1,896.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $9,152.46 / $9,152.46 / $10,471.89	Facility		$9,152.46	$9,152.46	$10,471.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,773.22 / $26,542.00	Facility		$1,640.00	$3,773.22	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $673.98 / $1,147.25 / $4,504.96	Professional		$673.98	$1,147.25	$4,504.96
Tufts Facility/Professional Facility Modifier Low / Median / High Price $2,287.83 / $3,356.21 / $6,792.07	Facility		$2,287.83	$3,356.21	$6,792.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.90 / $874.25 / $1,697.27	Professional		$576.90	$874.25	$1,697.27