Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,886.00 / $4,088.00	Facility		$537.00	$1,886.00	$4,088.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $349.98 / $1,105.76	Professional		$176.90	$349.98	$1,105.76
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $455.80 / $1,766.63 / $12,000.00	Facility		$455.80	$1,766.63	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $92.31	Facility	AS	$92.31	$92.31	$92.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $454.10 / $1,350.64	Professional		$167.85	$454.10	$1,350.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.20 / $282.36 / $498.26	Facility		$217.20	$282.36	$498.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $357.29 / $537.49	Professional		$80.91	$357.29	$537.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $435.76 / $843.94	Professional		$315.29	$435.76	$843.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $396.04 / $6,679.00	Facility		$188.65	$396.04	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $260.75 / $316.94 / $566.66	Professional		$260.75	$316.94	$566.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $480.61 / $676.35	Professional		$231.42	$480.61	$676.35
Health New England Facility/Professional Facility Modifier Low / Median / High Price $895.68 / $1,859.98 / $4,436.96	Facility		$895.68	$1,859.98	$4,436.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $295.72 / $465.25	Professional		$160.69	$295.72	$465.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $923.07 / $3,649.00 / $12,000.00	Facility		$923.07	$3,649.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $92.31	Facility	AS	$92.31	$92.31	$92.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $304.38 / $560.90 / $2,268.59	Professional		$304.38	$560.90	$2,268.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.49 / $450.75 / $755.37	Professional		$281.49	$450.75	$755.37