Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.73 / $2,067.00 / $5,893.91	Facility		$506.73	$2,067.00	$5,893.91
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,689.46 / $3,689.46 / $3,689.46	Facility	22	$3,689.46	$3,689.46	$3,689.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.88 / $389.25 / $1,505.00	Professional		$241.88	$389.25	$1,505.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $22.34 / $78.78 / $177.66	Professional	AS	$22.34	$78.78	$177.66
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $947.00 / $4,142.00	Facility		$502.00	$947.00	$4,142.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $384.88 / $760.56	Facility	62	$384.88	$384.88	$760.56
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $61.58 / $121.69	Facility	AS	$61.58	$61.58	$121.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $253.90 / $418.33 / $1,689.22	Professional		$253.90	$418.33	$1,689.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $477.07 / $632.98	Professional		$308.68	$477.07	$632.98
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $44.16 / $62.52 / $98.20	Professional	AS	$44.16	$62.52	$98.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.88 / $453.63 / $735.42	Professional		$299.88	$453.63	$735.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $372.77 / $6,679.00	Facility		$214.32	$372.77	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $284.69 / $344.81 / $466.82	Professional		$284.69	$344.81	$466.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $601.41 / $789.59	Professional		$317.02	$601.41	$789.59
Health New England Facility/Professional Facility Modifier Low / Median / High Price $749.58 / $1,029.47 / $5,315.70	Facility		$749.58	$1,029.47	$5,315.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $533.00 / $1,501.79	Professional		$48.04	$533.00	$1,501.79
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $615.79 / $1,818.00 / $5,000.00	Facility		$615.79	$1,818.00	$5,000.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $384.88 / $760.56	Facility	62	$384.88	$384.88	$760.56
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $61.58 / $121.69	Facility	AS	$61.58	$61.58	$121.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $284.95 / $435.49 / $1,780.96	Professional		$284.95	$435.49	$1,780.96
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.29 / $406.07 / $823.89	Professional		$273.29	$406.07	$823.89