Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.75 / $1,437.15 / $2,900.00	Facility		$158.75	$1,437.15	$2,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,369.26 / $3,369.26 / $3,369.26	Facility	50	$3,369.26	$3,369.26	$3,369.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $130.28 / $343.50	Professional		$63.53	$130.28	$343.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $206.22 / $2,871.43 / $10,821.00	Facility		$206.22	$2,871.43	$10,821.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $240.03 / $1,242.72	Professional		$94.07	$240.03	$1,242.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $127.18 / $249.47	Facility		$97.83	$127.18	$249.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $228.73 / $432.47	Professional		$140.78	$228.73	$432.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $275.16 / $496.42	Professional		$135.13	$275.16	$496.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $300.00 / $6,679.00	Facility		$85.56	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $251.01 / $368.72	Professional		$198.64	$251.01	$368.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $231.36 / $468.31	Professional		$107.06	$231.36	$468.31
Health New England Facility/Professional Facility Modifier Low / Median / High Price $941.67 / $1,982.22 / $4,241.10	Facility		$941.67	$1,982.22	$4,241.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $135.94 / $262.20	Professional		$106.25	$135.94	$262.20
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $582.48 / $3,649.00 / $12,000.00	Facility		$582.48	$3,649.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $174.56 / $429.86 / $1,242.72	Professional		$174.56	$429.86	$1,242.72
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 $167.29 / $257.11 / $524.12	Professional		$167.29	$257.11	$524.12