Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $2,663.12 / $4,767.00	Facility		$699.00	$2,663.12	$4,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.78 / $651.36 / $1,392.29	Professional		$247.78	$651.36	$1,392.29
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $619.54 / $5,268.00 / $16,394.00	Facility		$619.54	$5,268.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $1,159.07 / $3,870.54	Professional		$273.88	$1,159.07	$3,870.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $382.40 / $750.08	Facility		$294.14	$382.40	$750.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.28 / $969.40 / $1,739.98	Professional		$438.28	$969.40	$1,739.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.95 / $1,334.54 / $2,374.66	Professional		$453.95	$1,334.54	$2,374.66
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $256.67 / $536.34 / $6,679.00	Facility		$256.67	$536.34	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $976.60 / $1,156.10 / $2,067.05	Professional		$976.60	$1,156.10	$2,067.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $314.57 / $965.84 / $2,405.52	Professional		$314.57	$965.84	$2,405.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,586.71 / $1,763.01 / $10,062.45	Facility		$1,586.71	$1,763.01	$10,062.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $339.84 / $409.96 / $1,816.45	Professional		$339.84	$409.96	$1,816.45
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $5,572.00 / $16,394.00	Facility		$1,485.00	$5,572.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,089.09 / $2,113.26 / $5,647.28	Professional		$1,089.09	$2,113.26	$5,647.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.19 / $1,593.72 / $2,485.96	Professional		$977.19	$1,593.72	$2,485.96