Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $2,663.12 / $3,625.00	Facility		$448.26	$2,663.12	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $448.26 / $923.46	Professional		$148.01	$448.26	$923.46
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $953.00 / $2,733.00	Facility		$292.83	$953.00	$2,733.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $931.48 / $4,175.33	Professional		$166.80	$931.48	$4,175.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.12 / $193.04 / $348.96	Facility		$152.12	$193.04	$348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $337.93 / $1,202.70	Professional		$152.12	$337.93	$1,202.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $380.31 / $1,509.65	Professional		$170.46	$380.31	$1,509.65
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $214.32 / $6,679.00	Facility		$134.00	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $652.86 / $853.67 / $1,474.98	Professional		$652.86	$853.67	$1,474.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $569.17 / $1,586.03	Professional		$193.13	$569.17	$1,586.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $109.34 / $850.79	Professional		$109.34	$109.34	$850.79
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $1,053.11 / $2,796.00	Facility		$308.00	$1,053.11	$2,796.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $608.11 / $1,458.33 / $4,175.33	Professional		$608.11	$1,458.33	$4,175.33
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 $232.68 / $949.67 / $1,751.68	Professional		$232.68	$949.67	$1,751.68