Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.72 / $2,747.00 / $4,712.00	Facility		$1,743.72	$2,747.00	$4,712.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.19 / $625.58 / $1,441.30	Professional		$426.19	$625.58	$1,441.30
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $773.04 / $2,656.68 / $5,368.00	Facility		$773.04	$2,656.68	$5,368.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $118.78 / $118.78 / $380.79	Facility	AS	$118.78	$118.78	$380.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $478.51 / $783.36 / $3,381.92	Professional		$478.51	$783.36	$3,381.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.59 / $775.79 / $1,047.65	Professional		$471.59	$775.79	$1,047.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.37 / $804.16 / $1,353.43	Professional		$494.37	$804.16	$1,353.43
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $469.32 / $1,011.64 / $6,679.00	Facility		$469.32	$1,011.64	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $538.54 / $652.35 / $890.24	Professional		$538.54	$652.35	$890.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $588.60 / $1,166.83 / $1,539.25	Professional		$588.60	$1,166.83	$1,539.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,559.85 / $2,841.60 / $5,421.11	Facility		$1,559.85	$2,841.60	$5,421.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $931.00 / $4,420.77	Professional		$396.00	$931.00	$4,420.77
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $9,039.00	Facility		$55.00	$2,854.00	$9,039.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $118.78 / $118.78 / $380.79	Facility	AS	$118.78	$118.78	$380.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $827.07 / $3,381.92	Professional		$516.12	$827.07	$3,381.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $727.71 / $1,465.97	Professional		$491.54	$727.71	$1,465.97