Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.54 / $2,663.12 / $4,834.72	Facility		$692.54	$2,663.12	$4,834.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.67 / $731.11 / $1,533.26	Professional		$468.67	$731.11	$1,533.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,132.63 / $4,287.00 / $13,940.55	Facility		$1,132.63	$4,287.00	$13,940.55
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $258.37 / $258.37 / $258.37	Facility	AS	$258.37	$258.37	$258.37
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $621.66 / $1,293.92 / $5,969.28	Professional		$621.66	$1,293.92	$5,969.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.85 / $775.95 / $1,385.23	Facility		$603.85	$775.95	$1,385.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.07 / $1,205.28 / $2,077.76	Professional		$826.07	$1,205.28	$2,077.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $1,094.51 / $2,119.35	Professional		$638.41	$1,094.51	$2,119.35
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $511.49 / $1,101.06 / $6,679.00	Facility		$511.49	$1,101.06	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $954.77 / $1,163.00 / $1,605.40	Professional		$954.77	$1,163.00	$1,605.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $664.47 / $1,398.38 / $2,394.33	Professional		$664.47	$1,398.38	$2,394.33
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,724.16 / $4,115.38 / $16,937.34	Facility		$2,724.16	$4,115.38	$16,937.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $358.50 / $1,063.01 / $1,408.66	Professional		$358.50	$1,063.01	$1,408.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $26,542.00	Facility		$2,155.00	$4,983.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $258.37 / $258.37 / $258.37	Facility	AS	$258.37	$258.37	$258.37
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $798.28 / $1,740.51 / $5,969.28	Professional		$798.28	$1,740.51	$5,969.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $1,194.74 / $2,517.10	Professional		$745.52	$1,194.74	$2,517.10