Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,888.44 / $15,848.93	Facility		$2,290.87	$5,888.44	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,737.80 / $5,623.41	Professional		$549.54	$1,737.80	$5,623.41
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $354.81 / $912.01	Professional	AS	$165.96	$354.81	$912.01
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,471.29 / $42,657.95	Facility		$2,344.23	$10,471.29	$42,657.95
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility	54	$37,153.52	$37,153.52	$37,153.52
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $33,884.42 / $33,884.42 / $33,884.42	Facility	62	$33,884.42	$33,884.42	$33,884.42
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility	AS	$5,370.32	$5,370.32	$5,370.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $13,489.63	Professional		$1,202.26	$2,041.74	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,388.44	Professional		$1,513.56	$2,570.40	$3,388.44
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	AS	$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,892.96 / $20,892.96	Facility		$20,417.38	$20,892.96	$20,892.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,801.89	Professional		$1,258.93	$2,041.74	$3,801.89
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,949.84 / $8,511.38	Facility		$302.00	$1,949.84	$8,511.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,238.72	Professional		$1,288.25	$1,621.81	$2,238.72
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $25,703.96	Facility		$2,691.53	$7,244.36	$25,703.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $3,235.94	Professional		$1,202.26	$2,187.76	$3,235.94
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,471.29 / $27,542.29	Facility		$3,890.45	$10,471.29	$27,542.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,905.46 / $3,235.94	Professional		$218.78	$1,905.46	$3,235.94
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,471.29 / $42,657.95	Facility		$2,691.53	$10,471.29	$42,657.95
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility	54	$37,153.52	$37,153.52	$37,153.52
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $33,884.42 / $33,884.42 / $33,884.42	Facility	62	$33,884.42	$33,884.42	$33,884.42
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility	AS	$5,370.32	$5,370.32	$5,370.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $13,489.63	Professional		$1,202.26	$2,041.74	$13,489.63
Tufts Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $7,762.47 / $19,498.45	Facility		$407.38	$7,762.47	$19,498.45
Tufts Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,511.89	Professional		$1,071.52	$1,621.81	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $32,359.37	Facility		$2,691.53	$7,244.36	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,630.78	Professional		$1,380.38	$2,041.74	$3,630.78