Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $537.03 / $2,344.23	Facility		$141.25	$537.03	$2,344.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.23 / $645.65 / $1,000.00	Facility	50	$316.23	$645.65	$1,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	52	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $263.03	Professional		$45.71	$81.28	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $144.54 / $426.58	Professional	50	$75.86	$144.54	$426.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,000.00 / $15,135.61	Facility		$104.71	$1,000.00	$15,135.61
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $199.53	Professional		$48.98	$85.11	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $117.49	Facility		$52.48	$52.48	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $141.25	Professional		$52.48	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $158.49	Professional		$52.48	$93.33	$158.49
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $162.18 / $7,079.46	Facility		$46.77	$162.18	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $134.90	Professional		$77.62	$97.72	$134.90
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $177.83	Professional		$47.86	$89.13	$177.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $812.83	Facility		$288.40	$501.19	$812.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $162.18	Professional		$54.95	$114.82	$162.18
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,000.00 / $15,135.61	Facility		$104.71	$1,000.00	$15,135.61
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $199.53	Professional		$48.98	$85.11	$199.53
Tufts Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $398.11 / $602.56	Facility		$36.31	$398.11	$602.56
Tufts Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $66.07 / $123.03	Professional		$26.92	$66.07	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $2,818.38	Facility		$501.19	$1,819.70	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $177.83	Professional		$50.12	$85.11	$177.83