Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $1,803.00 / $3,363.00	Facility		$93.21	$1,803.00	$3,363.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.61 / $142.44 / $142.44	Facility	52	$46.61	$142.44	$142.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.64 / $18.64 / $56.97	Facility	53	$18.64	$18.64	$56.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $192.56 / $329.10	Professional		$89.57	$192.56	$329.10
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $276.68 / $1,624.91 / $12,000.00	Facility		$276.68	$1,624.91	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $344.97 / $344.97 / $344.97	Facility	52	$344.97	$344.97	$344.97
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $86.24 / $86.24 / $86.24	Facility	53	$86.24	$86.24	$86.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $409.42 / $1,863.52	Professional		$132.79	$409.42	$1,863.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $197.53 / $352.63	Facility		$153.72	$197.53	$352.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $281.83 / $588.10	Professional		$137.96	$281.83	$588.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $889.98 / $2,000.00	Facility		$443.00	$889.98	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $274.88 / $695.61	Professional		$124.62	$274.88	$695.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $87.82 / $377.00 / $6,679.00	Facility		$87.82	$377.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $394.79 / $561.32	Professional		$302.39	$394.79	$561.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $319.08 / $708.39	Professional		$129.32	$319.08	$708.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $204.25 / $204.25	Professional		$204.25	$204.25	$204.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $595.14 / $2,338.00 / $12,000.00	Facility		$595.14	$2,338.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $344.97 / $344.97 / $344.97	Facility	52	$344.97	$344.97	$344.97
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $86.24 / $86.24 / $86.24	Facility	53	$86.24	$86.24	$86.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $641.07 / $1,863.52	Professional		$286.64	$641.07	$1,863.52
United Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,338.00 / $4,952.00	Facility		$669.00	$2,338.00	$4,952.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $396.80 / $929.58	Professional		$246.52	$396.80	$929.58