Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $988.00 / $2,900.00	Facility		$75.05	$988.00	$2,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $72.12 / $374.78 / $1,909.50	Facility	50	$72.12	$374.78	$1,909.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $105.65 / $362.24	Professional		$53.74	$105.65	$362.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.60 / $509.19 / $2,657.54	Professional	50	$84.60	$509.19	$2,657.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $382.32 / $2,733.00	Facility		$123.73	$382.32	$2,733.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $201.95 / $1,116.08	Professional		$68.98	$201.95	$1,116.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $82.93 / $162.66	Facility		$63.79	$82.93	$162.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $138.79 / $395.30	Professional		$60.51	$138.79	$395.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $206.20 / $504.82	Professional		$88.48	$206.20	$504.82
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $168.26 / $6,679.00	Facility		$65.31	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $227.88 / $334.75	Professional		$180.34	$227.88	$334.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $191.28 / $423.69	Professional		$70.95	$191.28	$423.69
Health New England Facility/Professional Facility Modifier Low / Median / High Price $90.13 / $234.97 / $586.98	Facility		$90.13	$234.97	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $157.44 / $280.54	Professional		$75.27	$157.44	$280.54
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,445.00	Facility		$55.00	$1,078.00	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $363.24 / $1,116.08	Professional		$147.61	$363.24	$1,116.08
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $242.96 / $502.72	Professional		$129.79	$242.96	$502.72