Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.48 / $1,777.38 / $3,437.39	Facility		$327.48	$1,777.38	$3,437.39
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.84 / $163.74 / $929.16	Facility	52	$64.84	$163.74	$929.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.94 / $25.94 / $65.50	Facility	53	$25.94	$25.94	$65.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $232.58 / $538.47	Professional		$122.52	$232.58	$538.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $337.55 / $1,624.91 / $12,000.00	Facility		$337.55	$1,624.91	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $479.90 / $479.90 / $479.90	Facility	52	$479.90	$479.90	$479.90
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $119.98 / $119.98 / $119.98	Facility	53	$119.98	$119.98	$119.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $183.72 / $469.70 / $2,049.19	Professional		$183.72	$469.70	$2,049.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.23 / $243.16 / $434.09	Facility		$189.23	$243.16	$434.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $420.37 / $723.29	Professional		$258.87	$420.37	$723.29
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 $171.99 / $353.01 / $778.59	Professional		$171.99	$353.01	$778.59
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $122.38 / $377.00 / $6,679.00	Facility		$122.38	$377.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $428.67 / $675.73	Professional		$330.25	$428.67	$675.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $349.80 / $776.59	Professional		$180.15	$349.80	$776.59
Health New England Facility/Professional Facility Modifier Low / Median / High Price $735.89 / $1,559.85 / $2,396.39	Facility		$735.89	$1,559.85	$2,396.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $291.24 / $478.00	Professional		$125.34	$291.24	$478.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $2,338.00 / $12,000.00	Facility		$822.00	$2,338.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $479.90 / $479.90 / $479.90	Facility	52	$479.90	$479.90	$479.90
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $119.98 / $119.98 / $119.98	Facility	53	$119.98	$119.98	$119.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $684.26 / $2,049.19	Professional		$333.30	$684.26	$2,049.19
Tufts Facility/Professional Facility Modifier Low / Median / High Price $121.21 / $1,146.81 / $1,808.94	Facility		$121.21	$1,146.81	$1,808.94
Tufts Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $131.16 / $232.19	Professional		$66.29	$131.16	$232.19
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 $288.00 / $469.70 / $1,023.45	Professional		$288.00	$469.70	$1,023.45