Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.59 / $2,747.00 / $7,084.12	Facility		$821.59	$2,747.00	$7,084.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,281.75 / $9,281.75 / $9,281.75	Facility	50	$9,281.75	$9,281.75	$9,281.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.83 / $798.39 / $3,363.64	Professional		$521.83	$798.39	$3,363.64
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,275.82 / $4,402.00 / $9,401.00	Facility		$1,275.82	$4,402.00	$9,401.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $145.18 / $145.18 / $849.00	Facility	AS	$145.18	$145.18	$849.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $584.29 / $1,062.01 / $6,386.47	Professional		$584.29	$1,062.01	$6,386.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.29 / $1,109.44 / $1,679.25	Professional		$748.29	$1,109.44	$1,679.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.66 / $1,005.56 / $1,617.47	Professional		$648.66	$1,005.56	$1,617.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $569.24 / $1,233.66 / $6,679.00	Facility		$569.24	$1,233.66	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $653.20 / $791.24 / $1,085.61	Professional		$653.20	$791.24	$1,085.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $706.97 / $1,401.50 / $1,848.80	Professional		$706.97	$1,401.50	$1,848.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,931.75 / $4,436.96 / $6,134.64	Facility		$1,931.75	$4,436.96	$6,134.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $676.58 / $1,159.01 / $1,785.14	Professional		$676.58	$1,159.01	$1,785.14
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,268.00 / $26,542.00	Facility		$2,155.00	$5,268.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $145.18 / $145.18 / $849.00	Facility	AS	$145.18	$145.18	$849.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $659.08 / $1,083.82 / $6,386.47	Professional		$659.08	$1,083.82	$6,386.47
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 $659.08 / $1,055.18 / $1,865.94	Professional		$659.08	$1,055.18	$1,865.94