Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.53 / $4,936.00 / $15,240.56	Facility		$2,124.53	$4,936.00	$15,240.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,106.32 / $10,106.32 / $10,106.32	Facility	50	$10,106.32	$10,106.32	$10,106.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $929.18 / $929.18 / $929.18	Facility	54	$929.18	$929.18	$929.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.70 / $1,594.36 / $4,139.14	Professional		$496.70	$1,594.36	$4,139.14
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $264.86 / $505.24 / $690.18	Professional	AS	$264.86	$505.24	$690.18
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,092.88 / $6,898.00 / $33,500.00	Facility		$2,092.88	$6,898.00	$33,500.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $2,270.53 / $2,270.53 / $34,832.28	Facility	54	$2,270.53	$2,270.53	$34,832.28
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $324.36 / $324.36 / $4,976.04	Facility	AS	$324.36	$324.36	$4,976.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,363.05 / $2,425.07 / $11,316.67	Professional		$1,363.05	$2,425.07	$11,316.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.91 / $1,800.74 / $3,116.34	Professional		$529.91	$1,800.74	$3,116.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,633.41 / $20,683.62 / $20,683.62	Facility		$20,633.41	$20,683.62	$20,683.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.20 / $2,276.27 / $3,812.69	Professional		$1,477.20	$2,276.27	$3,812.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,010.30 / $8,090.00	Facility		$300.00	$2,010.30	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.01 / $1,768.55 / $2,407.87	Professional		$1,460.01	$1,768.55	$2,407.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,592.52 / $3,118.15 / $4,059.33	Professional		$1,592.52	$3,118.15	$4,059.33
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,863.50 / $10,036.62 / $24,943.71	Facility		$3,863.50	$10,036.62	$24,943.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $1,963.82 / $3,850.68	Professional		$167.83	$1,963.82	$3,850.68
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $7,454.00 / $33,500.00	Facility		$2,485.00	$7,454.00	$33,500.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $2,270.53 / $2,270.53 / $34,832.28	Facility	54	$2,270.53	$2,270.53	$34,832.28
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $324.36 / $324.36 / $4,976.04	Facility	AS	$324.36	$324.36	$4,976.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,535.76 / $2,566.80 / $11,316.67	Professional		$1,535.76	$2,566.80	$11,316.67
Tufts Facility/Professional Facility Modifier Low / Median / High Price $1,134.84 / $6,214.96 / $17,362.56	Facility		$1,134.84	$6,214.96	$17,362.56
Tufts Facility/Professional Professional Modifier Low / Median / High Price $1,134.84 / $1,479.88 / $2,609.94	Professional		$1,134.84	$1,479.88	$2,609.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,898.00 / $24,484.00	Facility		$2,485.00	$6,898.00	$24,484.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,489.71 / $2,193.83 / $4,496.04	Professional		$1,489.71	$2,193.83	$4,496.04