Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.32 / $1,418.00 / $3,103.52	Facility		$234.32	$1,418.00	$3,103.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.21 / $43.21 / $117.16	Facility	52	$43.21	$43.21	$117.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.28 / $17.28 / $46.86	Facility	53	$17.28	$17.28	$46.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $234.32 / $754.66	Professional		$86.42	$234.32	$754.66
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $237.01 / $1,339.09 / $3,804.00	Facility		$237.01	$1,339.09	$3,804.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $415.68 / $415.68 / $415.68	Facility	52	$415.68	$415.68	$415.68
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $103.92 / $103.92 / $103.92	Facility	53	$103.92	$103.92	$103.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $584.92 / $2,757.35	Professional		$118.15	$584.92	$2,757.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $158.05 / $310.02	Facility		$121.58	$158.05	$310.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.73 / $447.28 / $779.90	Professional		$171.73	$447.28	$779.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $414.29 / $900.14	Professional		$165.50	$414.29	$900.14
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $214.32 / $6,679.00	Facility		$107.24	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $356.15 / $450.04 / $804.63	Professional		$356.15	$450.04	$804.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $376.42 / $835.69	Professional		$134.77	$376.42	$835.69
Health New England Facility/Professional Facility Modifier Low / Median / High Price $697.69 / $1,283.00 / $2,075.00	Facility		$697.69	$1,283.00	$2,075.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $167.68 / $334.12	Professional		$108.40	$167.68	$334.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,878.00 / $7,161.00	Facility		$55.00	$1,878.00	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $415.68 / $415.68 / $415.68	Facility	52	$415.68	$415.68	$415.68
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $103.92 / $103.92 / $103.92	Facility	53	$103.92	$103.92	$103.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $428.10 / $1,062.17 / $2,888.22	Professional		$428.10	$1,062.17	$2,888.22
Tufts Facility/Professional Facility Modifier Low / Median / High Price $734.22 / $837.01 / $1,027.91	Facility		$734.22	$837.01	$1,027.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,408.00 / $5,683.00	Facility		$1,106.00	$2,408.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $695.25 / $1,303.13	Professional		$376.42	$695.25	$1,303.13