Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.23 / $941.00 / $3,363.00	Facility		$241.23	$941.00	$3,363.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $24.95 / $24.95 / $86.18	Facility	52	$24.95	$24.95	$86.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $202.09 / $625.91	Professional		$67.64	$202.09	$625.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.95 / $84.95 / $264.62	Professional	52	$24.95	$84.95	$264.62
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $438.42 / $2,733.00	Facility		$143.31	$438.42	$2,733.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $252.78 / $252.78 / $252.78	Facility	52	$252.78	$252.78	$252.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $282.14 / $1,361.68	Professional		$82.84	$282.14	$1,361.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $96.46 / $189.21	Facility		$74.20	$96.46	$189.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $121.68 / $383.54	Professional		$70.39	$121.68	$383.54
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $60.84 / $110.93 / $191.77	Professional	52	$60.84	$110.93	$191.77
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 $104.15 / $274.14 / $608.09	Professional		$104.15	$274.14	$608.09
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $75.33 / $250.46 / $6,679.00	Facility		$75.33	$250.46	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $220.71 / $278.89 / $498.64	Professional		$220.71	$278.89	$498.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $233.06 / $516.23	Professional		$81.03	$233.06	$516.23
Health New England Facility/Professional Facility Modifier Low / Median / High Price $152.49 / $468.96 / $1,337.74	Facility		$152.49	$468.96	$1,337.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $336.65 / $637.62	Professional		$139.75	$336.65	$637.62
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 Facility Modifier 52 Low / Median / High Price $252.78 / $252.78 / $252.78	Facility	52	$252.78	$252.78	$252.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $493.13 / $1,361.68	Professional		$228.47	$493.13	$1,361.68
Tufts Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $237.46 / $497.06	Facility		$58.39	$237.46	$497.06
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 $189.18 / $299.60 / $672.86	Professional		$189.18	$299.60	$672.86