Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $2,079.00 / $4,088.00	Facility		$537.00	$2,079.00	$4,088.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.89 / $39.89 / $81.15	Facility	52	$39.89	$39.89	$81.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.96 / $15.96 / $32.46	Facility	53	$15.96	$15.96	$32.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $185.86 / $468.43	Professional		$85.05	$185.86	$468.43
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $198.69 / $1,588.55 / $12,000.00	Facility		$198.69	$1,588.55	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $319.13 / $319.13 / $319.13	Facility	52	$319.13	$319.13	$319.13
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $79.78 / $79.78 / $79.78	Facility	53	$79.78	$79.78	$79.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $336.11 / $1,374.00	Professional		$87.87	$336.11	$1,374.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $121.89 / $239.09	Facility		$93.76	$121.89	$239.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $278.89 / $462.33	Professional		$132.44	$278.89	$462.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $347.15 / $653.12	Professional		$145.12	$347.15	$653.12
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $300.00 / $6,679.00	Facility		$83.43	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $254.04 / $303.18 / $542.07	Professional		$254.04	$303.18	$542.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $254.77 / $634.53	Professional		$101.99	$254.77	$634.53
Health New England Facility/Professional Facility Modifier Low / Median / High Price $586.98 / $586.98 / $942.28	Facility		$586.98	$586.98	$942.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $226.97 / $253.50	Professional		$133.79	$226.97	$253.50
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,430.00 / $12,000.00	Facility		$540.00	$2,430.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $319.13 / $319.13 / $319.13	Facility	52	$319.13	$319.13	$319.13
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $79.78 / $79.78 / $79.78	Facility	53	$79.78	$79.78	$79.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $308.73 / $565.58 / $1,989.58	Professional		$308.73	$565.58	$1,989.58
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 $299.95 / $420.12 / $640.42	Professional		$299.95	$420.12	$640.42