Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,623.41 / $15,488.17	Facility		$2,137.96	$5,623.41	$15,488.17
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility	50	$10,000.00	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $5,754.40	Professional		$831.76	$1,659.59	$5,754.40
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $346.74 / $954.99	Professional	AS	$169.82	$346.74	$954.99
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,471.29 / $38,904.51	Facility		$2,344.23	$10,471.29	$38,904.51
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 AS Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	AS	$5,248.07	$5,248.07	$5,248.07
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $11,220.18	Professional		$1,202.26	$2,089.30	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,388.44	Professional		$1,513.56	$2,398.83	$3,388.44
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 / $2,187.76 / $3,801.89	Professional		$1,258.93	$2,187.76	$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 $1,230.27 / $2,238.72 / $3,311.31	Professional		$1,230.27	$2,238.72	$3,311.31
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,000.00 / $36,307.81	Facility		$3,890.45	$10,000.00	$36,307.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,905.46 / $2,630.27	Professional		$165.96	$1,905.46	$2,630.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,471.29 / $38,904.51	Facility		$2,691.53	$10,471.29	$38,904.51
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 AS Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	AS	$5,248.07	$5,248.07	$5,248.07
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $11,220.18	Professional		$1,202.26	$2,089.30	$11,220.18
Tufts Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $7,762.47 / $18,197.01	Facility		$398.11	$7,762.47	$18,197.01
Tufts Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,511.89	Professional		$1,096.48	$1,659.59	$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 $1,412.54 / $2,137.96 / $3,630.78	Professional		$1,412.54	$2,137.96	$3,630.78