Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,663.12 / $4,767.00	Facility		$1,421.00	$2,663.12	$4,767.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $198.94 / $198.94 / $198.94	Facility	52	$198.94	$198.94	$198.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $458.94 / $1,135.54	Professional		$385.43	$458.94	$1,135.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.14 / $3,715.00 / $9,039.00	Facility		$941.14	$3,715.00	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $870.38 / $870.38 / $6,791.96	Facility	52	$870.38	$870.38	$6,791.96
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $108.80 / $108.80 / $849.00	Facility	AS	$108.80	$108.80	$849.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $435.14 / $787.75 / $3,366.84	Professional		$435.14	$787.75	$3,366.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.36 / $816.13 / $1,102.15	Professional		$595.36	$816.13	$1,102.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.03 / $731.40 / $1,216.03	Professional		$443.03	$731.40	$1,216.03
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $904.64 / $6,679.00	Facility		$421.10	$904.64	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $483.21 / $585.33 / $796.08	Professional		$483.21	$585.33	$796.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $523.47 / $1,037.73 / $1,368.93	Professional		$523.47	$1,037.73	$1,368.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $667.58 / $875.82	Professional		$362.58	$667.58	$875.82
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,567.08 / $3,997.00 / $16,394.00	Facility		$1,567.08	$3,997.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $870.38 / $870.38 / $6,791.96	Facility	52	$870.38	$870.38	$6,791.96
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $108.80 / $108.80 / $849.00	Facility	AS	$108.80	$108.80	$849.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $483.01 / $812.79 / $3,366.84	Professional		$483.01	$812.79	$3,366.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.01 / $638.51 / $1,243.95	Professional		$460.01	$638.51	$1,243.95