Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $2,581.76 / $4,371.00	Facility		$699.00	$2,581.76	$4,371.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,358.86 / $2,388.38 / $5,159.20	Facility	50	$2,358.86	$2,388.38	$5,159.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $272.70 / $947.80	Professional		$134.78	$272.70	$947.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,387.31 / $1,387.31 / $1,387.31	Professional	50	$1,387.31	$1,387.31	$1,387.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $405.27 / $2,948.45 / $10,821.00	Facility		$405.27	$2,948.45	$10,821.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $448.10 / $2,210.82	Professional		$192.80	$448.10	$2,210.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.36 / $252.67 / $445.86	Facility		$194.36	$252.67	$445.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $293.14 / $506.76	Professional		$184.37	$293.14	$506.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $455.45 / $755.40	Professional		$265.08	$455.45	$755.40
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $354.40 / $6,679.00	Facility		$168.70	$354.40	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $296.11 / $374.17 / $668.99	Professional		$296.11	$374.17	$668.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $211.18 / $454.87 / $702.93	Professional		$211.18	$454.87	$702.93
Health New England Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.43 / $0.43	Facility		$0.43	$0.43	$0.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $448.09 / $448.09 / $456.57	Professional		$448.09	$448.09	$456.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,143.42 / $3,649.00 / $12,000.00	Facility		$1,143.42	$3,649.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $338.91 / $648.28 / $2,210.82	Professional		$338.91	$648.28	$2,210.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $424.10 / $788.60	Professional		$335.85	$424.10	$788.60