Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.76 / $3,363.00 / $12,642.00	Facility		$2,506.76	$3,363.00	$12,642.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $8,162.37 / $8,162.37 / $8,162.37	Facility	22	$8,162.37	$8,162.37	$8,162.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,555.00 / $4,096.77	Professional		$1,291.35	$1,555.00	$4,096.77
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $199.32 / $483.30 / $607.01	Professional	AS	$199.32	$483.30	$607.01
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,572.12 / $6,003.00 / $20,362.00	Facility		$1,572.12	$6,003.00	$20,362.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $365.73 / $365.73 / $7,806.31	Facility	AS	$365.73	$365.73	$7,806.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,464.66 / $2,503.76 / $10,391.76	Professional		$1,464.66	$2,503.76	$10,391.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,762.28 / $25,762.28 / $26,582.22	Facility		$25,762.28	$25,762.28	$26,582.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,010.18 / $2,770.00 / $3,752.62	Professional		$2,010.18	$2,770.00	$3,752.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.16 / $2,471.31 / $4,152.97	Professional		$1,457.16	$2,471.31	$4,152.97
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.44 / $2,310.11 / $6,679.00	Facility		$1,432.44	$2,310.11	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.72 / $1,991.09 / $2,710.52	Professional		$1,643.72	$1,991.09	$2,710.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,791.59 / $3,507.93 / $4,566.76	Professional		$1,791.59	$3,507.93	$4,566.76
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,580.64 / $6,091.88 / $30,509.73	Facility		$4,580.64	$6,091.88	$30,509.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $287.63 / $407.28 / $4,345.67	Professional		$287.63	$407.28	$4,345.67
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,238.00 / $20,362.00	Facility		$55.00	$6,238.00	$20,362.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $365.73 / $365.73 / $7,806.31	Facility	AS	$365.73	$365.73	$7,806.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,593.40 / $2,633.06 / $10,391.76	Professional		$1,593.40	$2,633.06	$10,391.76
Tufts Facility/Professional Facility Modifier Low / Median / High Price $6,553.24 / $9,613.52 / $19,455.18	Facility		$6,553.24	$9,613.52	$19,455.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,474.00 / $13,737.00	Facility		$2,485.00	$6,474.00	$13,737.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.60 / $2,290.37 / $4,825.79	Professional		$1,543.60	$2,290.37	$4,825.79