Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.76 / $1,845.24 / $4,150.89	Facility		$420.76	$1,845.24	$4,150.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.84 / $72.84 / $210.38	Facility	52	$72.84	$72.84	$210.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.14 / $29.14 / $84.15	Facility	53	$29.14	$29.14	$84.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $255.53 / $763.06	Professional		$87.40	$255.53	$763.06
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $337.55 / $1,624.91 / $16,394.00	Facility		$337.55	$1,624.91	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $539.10 / $539.10 / $539.10	Facility	52	$539.10	$539.10	$539.10
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $134.78 / $134.78 / $134.78	Facility	53	$134.78	$134.78	$134.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $588.41 / $2,649.44	Professional		$207.21	$588.41	$2,649.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.83 / $292.76 / $522.64	Facility		$227.83	$292.76	$522.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.75 / $506.12 / $903.39	Professional		$287.75	$506.12	$903.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $889.98 / $2,000.00	Facility		$593.00	$889.98	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $416.83 / $1,000.72	Professional		$194.12	$416.83	$1,000.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $506.00 / $6,679.00	Facility		$137.52	$506.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $428.02 / $557.04 / $832.69	Professional		$428.02	$557.04	$832.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $202.37 / $452.20 / $1,003.93	Professional		$202.37	$452.20	$1,003.93
Health New England Facility/Professional Facility Modifier Low / Median / High Price $749.06 / $1,671.79 / $3,116.41	Facility		$749.06	$1,671.79	$3,116.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $319.98 / $590.00	Professional		$146.65	$319.98	$590.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $2,338.00 / $16,394.00	Facility		$822.00	$2,338.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $539.10 / $539.10 / $539.10	Facility	52	$539.10	$539.10	$539.10
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $134.78 / $134.78 / $134.78	Facility	53	$134.78	$134.78	$134.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $434.66 / $915.38 / $2,649.44	Professional		$434.66	$915.38	$2,649.44
Tufts Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $447.15 / $1,814.86	Facility		$106.34	$447.15	$1,814.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $174.28 / $394.50	Professional		$104.00	$174.28	$394.50
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 $379.70 / $577.67 / $1,217.13	Professional		$379.70	$577.67	$1,217.13