Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $1,886.00 / $3,685.00	Facility		$163.06	$1,886.00	$3,685.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $6.70 / $6.70 / $6.70	Facility	53	$6.70	$6.70	$6.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $63.24 / $248.95	Professional		$33.50	$63.24	$248.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $818.35 / $2,796.00	Facility		$55.00	$818.35	$2,796.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	53	$50.00	$50.00	$50.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $80.18 / $543.00	Professional		$42.03	$80.18	$543.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $81.40 / $105.37	Professional		$61.70	$81.40	$105.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $93.41 / $159.01	Professional		$66.89	$93.41	$159.01
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $174.29 / $6,679.00	Facility		$50.59	$174.29	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $61.13 / $109.30	Professional		$48.79	$61.13	$109.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $100.24 / $133.00	Professional		$52.84	$100.24	$133.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $418.57 / $418.57 / $418.57	Facility		$418.57	$418.57	$418.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $91.91 / $132.56	Professional		$68.12	$91.91	$132.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $3,445.00	Facility		$55.00	$1,300.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	53	$50.00	$50.00	$50.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $88.73 / $543.00	Professional		$58.60	$88.73	$543.00
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 $56.19 / $77.16 / $134.11	Professional		$56.19	$77.16	$134.11