Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.25 / $2,581.76 / $4,767.00	Facility		$252.25	$2,581.76	$4,767.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.47 / $55.47 / $126.13	Facility	52	$55.47	$55.47	$126.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $295.61 / $631.17	Professional		$110.94	$295.61	$631.17
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $2,948.45 / $10,821.00	Facility		$310.97	$2,948.45	$10,821.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $507.15 / $507.15 / $507.15	Facility	52	$507.15	$507.15	$507.15
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $394.34 / $1,812.48	Professional		$160.71	$394.34	$1,812.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $193.18 / $378.93	Facility		$148.60	$193.18	$378.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $379.70 / $627.87	Professional		$209.90	$379.70	$627.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.67 / $399.30 / $782.28	Professional		$202.67	$399.30	$782.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $300.00 / $6,679.00	Facility		$130.32	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $365.40 / $653.30	Professional		$289.17	$365.40	$653.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $353.82 / $683.84	Professional		$163.72	$353.82	$683.84
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,091.01 / $1,586.71 / $3,437.28	Facility		$1,091.01	$1,586.71	$3,437.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $202.59 / $423.40	Professional		$192.50	$202.59	$423.40
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,037.05 / $3,649.00 / $12,000.00	Facility		$1,037.05	$3,649.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $507.15 / $507.15 / $507.15	Facility	52	$507.15	$507.15	$507.15
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $329.17 / $648.28 / $1,812.48	Professional		$329.17	$648.28	$1,812.48
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 $313.75 / $447.66 / $874.78	Professional		$313.75	$447.66	$874.78