Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.81 / $2,079.00 / $5,537.16	Facility		$317.81	$2,079.00	$5,537.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,515.06 / $1,515.06 / $8,573.87	Facility	50	$1,515.06	$1,515.06	$8,573.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $197.15 / $507.00	Professional		$108.99	$197.15	$507.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $149.13 / $736.00 / $2,796.00	Facility		$149.13	$736.00	$2,796.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $33.49 / $33.49 / $64.98	Facility	AS	$33.49	$33.49	$64.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $260.44 / $964.32	Professional		$143.16	$260.44	$964.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $258.23 / $361.13	Professional		$197.09	$258.23	$361.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $277.50 / $493.19	Professional		$212.63	$277.50	$493.19
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $281.64 / $8,090.00	Facility		$132.44	$281.64	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $190.11 / $343.35	Professional		$151.97	$190.11	$343.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $333.74 / $419.29	Professional		$168.35	$333.74	$419.29
Health New England Facility/Professional Facility Modifier Low / Median / High Price $700.93 / $1,403.19 / $3,821.87	Facility		$700.93	$1,403.19	$3,821.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $296.70 / $417.02	Professional		$213.64	$296.70	$417.02
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,445.00	Facility		$55.00	$1,078.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $33.49 / $33.49 / $64.98	Facility	AS	$33.49	$33.49	$64.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $272.79 / $964.32	Professional		$178.36	$272.79	$964.32
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 $168.35 / $254.94 / $436.00	Professional		$168.35	$254.94	$436.00