Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,731.59 / $3,363.00	Facility		$659.00	$1,731.59	$3,363.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.91 / $23.91 / $164.56	Facility	53	$23.91	$23.91	$164.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $386.76 / $1,484.93	Professional		$119.53	$386.76	$1,484.93
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $329.48 / $2,329.00 / $4,952.00	Facility		$329.48	$2,329.00	$4,952.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $144.50 / $144.50 / $144.50	Facility	53	$144.50	$144.50	$144.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $1,339.43 / $4,069.79	Professional		$165.97	$1,339.43	$4,069.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.05 / $224.93 / $432.10	Facility		$176.05	$224.93	$432.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $367.95 / $2,218.71	Professional		$168.78	$367.95	$2,218.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $548.29 / $2,438.76	Professional		$230.20	$548.29	$2,438.76
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $149.24 / $308.38 / $6,679.00	Facility		$149.24	$308.38	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $956.71 / $1,208.91 / $2,161.44	Professional		$956.71	$1,208.91	$2,161.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $1,003.52 / $2,222.80	Professional		$187.67	$1,003.52	$2,222.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,287.76 / $1,903.59 / $3,863.50	Facility		$1,287.76	$1,903.59	$3,863.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $239.64 / $1,651.09	Professional		$120.98	$239.64	$1,651.09
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,376.00 / $8,498.00	Facility		$55.00	$2,376.00	$8,498.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $144.50 / $144.50 / $144.50	Facility	53	$144.50	$144.50	$144.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,096.72 / $1,663.52 / $5,875.68	Professional		$1,096.72	$1,663.52	$5,875.68
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 $1,209.91 / $1,587.29 / $3,574.40	Professional		$1,209.91	$1,587.29	$3,574.40