Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.67 / $3,143.00 / $8,525.20	Facility		$972.67	$3,143.00	$8,525.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,246.27 / $2,964.43	Professional		$931.51	$1,246.27	$2,964.43
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,761.00 / $5,508.58 / $19,078.05	Facility		$1,761.00	$5,508.58	$19,078.05
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $272.26 / $272.26 / $1,887.52	Facility	AS	$272.26	$272.26	$1,887.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,112.30 / $1,925.23 / $7,718.96	Professional		$1,112.30	$1,925.23	$7,718.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.45 / $2,067.36 / $2,800.56	Professional		$1,501.45	$2,067.36	$2,800.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,867.20 / $3,080.44	Professional		$1,090.66	$1,867.20	$3,080.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.20 / $1,909.00 / $6,679.00	Facility		$1,066.20	$1,909.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.46 / $1,482.02 / $2,022.84	Professional		$1,223.46	$1,482.02	$2,022.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,329.97 / $2,636.53 / $3,478.00	Professional		$1,329.97	$2,636.53	$3,478.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,284.73 / $4,639.32 / $15,178.94	Facility		$1,284.73	$4,639.32	$15,178.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $1,648.10 / $3,351.62	Professional		$176.80	$1,648.10	$3,351.62
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $26,542.00	Facility		$2,386.00	$6,078.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $272.26 / $272.26 / $1,887.52	Facility	AS	$272.26	$272.26	$1,887.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,174.84 / $1,967.83 / $7,718.96	Professional		$1,174.84	$1,967.83	$7,718.96
Tufts Facility/Professional Facility Modifier Low / Median / High Price $3,028.45 / $4,442.68 / $8,990.81	Facility		$3,028.45	$4,442.68	$8,990.81
Tufts Facility/Professional Professional Modifier Low / Median / High Price $882.34 / $1,252.85 / $2,196.08	Professional		$882.34	$1,252.85	$2,196.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,017.00	Facility		$2,386.00	$5,904.00	$13,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.53 / $1,635.55 / $3,467.36	Professional		$1,115.53	$1,635.55	$3,467.36