Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,861.89	Facility		$1,758.00	$2,747.00	$4,861.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $864.68 / $2,546.00	Professional		$668.65	$864.68	$2,546.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $822.61 / $2,854.00 / $5,737.16	Facility		$822.61	$2,854.00	$5,737.16
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $185.47 / $185.47 / $646.16	Facility	AS	$185.47	$185.47	$646.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $753.80 / $1,224.42 / $5,285.68	Professional		$753.80	$1,224.42	$5,285.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.95 / $1,416.79 / $1,919.26	Professional		$863.95	$1,416.79	$1,919.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.99 / $1,269.83 / $2,122.54	Professional		$782.99	$1,269.83	$2,122.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $732.09 / $1,575.32 / $6,679.00	Facility		$732.09	$1,575.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $840.07 / $1,017.61 / $1,386.28	Professional		$840.07	$1,017.61	$1,386.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $919.14 / $1,822.10 / $2,403.64	Professional		$919.14	$1,822.10	$2,403.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,345.09 / $4,501.87 / $6,079.20	Facility		$1,345.09	$4,501.87	$6,079.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,165.53 / $1,518.49 / $1,716.93	Professional		$1,165.53	$1,518.49	$1,716.93
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,764.00 / $9,039.00	Facility		$55.00	$3,764.00	$9,039.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $185.47 / $185.47 / $646.16	Facility	AS	$185.47	$185.47	$646.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $810.18 / $1,302.99 / $5,285.68	Professional		$810.18	$1,302.99	$5,285.68
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 $783.40 / $1,174.23 / $2,450.62	Professional		$783.40	$1,174.23	$2,450.62