Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $2,015.29 / $3,625.00	Facility		$143.75	$2,015.29	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.57 / $49.57 / $71.88	Facility	52	$49.57	$49.57	$71.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $166.82 / $499.03	Professional		$99.14	$166.82	$499.03
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $279.45 / $1,027.76 / $7,231.00	Facility		$279.45	$1,027.76	$7,231.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $460.86 / $460.86 / $460.86	Facility	52	$460.86	$460.86	$460.86
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $306.55 / $1,231.73	Professional		$132.81	$306.55	$1,231.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.99 / $175.49 / $309.67	Facility		$134.99	$175.49	$309.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $289.04 / $445.21	Professional		$194.25	$289.04	$445.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $315.88 / $546.91	Professional		$184.11	$315.88	$546.91
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $300.00 / $6,679.00	Facility		$116.96	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $247.88 / $443.19	Professional		$196.17	$247.88	$443.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $314.58 / $522.33	Professional		$146.10	$314.58	$522.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $179.96 / $179.96	Professional		$179.96	$179.96	$179.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,028.00 / $12,000.00	Facility		$627.00	$2,028.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $460.86 / $460.86 / $460.86	Facility	52	$460.86	$460.86	$460.86
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $222.44 / $426.59 / $1,231.73	Professional		$222.44	$426.59	$1,231.73
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 $213.39 / $288.29 / $632.69	Professional		$213.39	$288.29	$632.69