Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,731.80 / $2,663.12 / $4,410.00	Facility		$1,731.80	$2,663.12	$4,410.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,350.00 / $1,350.00 / $4,135.00	Facility	50	$1,350.00	$1,350.00	$4,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $1,731.80 / $4,207.79	Professional		$128.54	$1,731.80	$4,207.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $384.83 / $2,857.47 / $7,837.05	Professional	50	$384.83	$2,857.47	$7,837.05
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $381.33 / $4,402.00 / $11,266.45	Facility		$381.33	$4,402.00	$11,266.45
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $2,919.15 / $11,235.92	Professional		$175.75	$2,919.15	$11,235.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.26 / $236.94 / $464.76	Facility		$182.26	$236.94	$464.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $298.89 / $3,245.56	Professional		$298.89	$298.89	$3,245.56
BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $47.82 / $47.82 / $47.82	Professional	80	$47.82	$47.82	$47.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.42 / $713.51 / $5,474.93	Professional		$238.42	$713.51	$5,474.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $249.26 / $6,679.00	Facility		$158.60	$249.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.66 / $2,345.67 / $4,167.57	Professional		$1,844.66	$2,345.67	$4,167.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $1,927.17 / $4,278.51	Professional		$199.00	$1,927.17	$4,278.51
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,076.76 / $5,268.00 / $9,401.00	Facility		$1,076.76	$5,268.00	$9,401.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,559.42 / $4,508.13 / $11,235.92	Professional		$2,559.42	$4,508.13	$11,235.92
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 $2,310.21 / $3,364.55 / $8,745.67	Professional		$2,310.21	$3,364.55	$8,745.67