Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.84 / $2,858.19 / $6,767.34	Facility		$844.84	$2,858.19	$6,767.34
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.26 / $47.26 / $168.97	Facility	53	$47.26	$47.26	$168.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.74 / $914.64 / $3,885.89	Professional		$307.74	$914.64	$3,885.89
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $792.83 / $5,268.00 / $26,542.00	Facility		$792.83	$5,268.00	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $319.74 / $319.74 / $319.74	Facility	53	$319.74	$319.74	$319.74
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $159.87 / $159.87 / $159.87	Facility	AS	$159.87	$159.87	$159.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $351.32 / $1,572.93 / $5,494.00	Professional		$351.32	$1,572.93	$5,494.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.16 / $489.01 / $959.21	Facility		$376.16	$489.01	$959.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $531.33 / $1,972.22	Professional		$157.19	$531.33	$1,972.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.72 / $1,569.06 / $3,352.96	Professional		$584.72	$1,569.06	$3,352.96
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $321.58 / $685.90 / $6,679.00	Facility		$321.58	$685.90	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.22 / $1,361.04 / $2,433.44	Professional		$1,148.22	$1,361.04	$2,433.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $403.05 / $1,139.51 / $2,838.06	Professional		$403.05	$1,139.51	$2,838.06
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,189.63 / $3,382.08 / $7,693.05	Facility		$2,189.63	$3,382.08	$7,693.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $436.94 / $669.03 / $2,481.15	Professional		$436.94	$669.03	$2,481.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,858.50 / $5,572.00 / $26,542.00	Facility		$1,858.50	$5,572.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $319.74 / $319.74 / $319.74	Facility	53	$319.74	$319.74	$319.74
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $159.87 / $159.87 / $159.87	Facility	AS	$159.87	$159.87	$159.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,527.08 / $2,653.42 / $7,917.29	Professional		$1,527.08	$2,653.42	$7,917.29
Tufts Facility/Professional Facility Modifier Low / Median / High Price $132.34 / $1,020.49 / $5,310.36	Facility		$132.34	$1,020.49	$5,310.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $5,572.00 / $11,272.00	Facility		$1,850.00	$5,572.00	$11,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.75 / $2,078.21 / $3,800.94	Professional		$1,454.75	$2,078.21	$3,800.94