Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.98 / $1,845.24 / $3,469.00	Facility		$299.98	$1,845.24	$3,469.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.89 / $90.89 / $326.16	Facility	52	$90.89	$90.89	$326.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $269.35 / $1,021.61	Professional		$169.05	$269.35	$1,021.61
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,689.00 / $16,394.00	Facility		$432.00	$1,689.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $682.37 / $682.37 / $682.37	Facility	52	$682.37	$682.37	$682.37
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $942.19 / $4,122.24	Professional		$217.48	$942.19	$4,122.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.55 / $257.70 / $511.40	Facility		$200.55	$257.70	$511.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.17 / $785.45 / $1,302.03	Professional		$281.17	$785.45	$1,302.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,527.80 / $2,000.00	Facility		$593.00	$1,527.80	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $516.40 / $1,627.25	Professional		$225.83	$516.40	$1,627.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $174.85 / $506.00 / $6,679.00	Facility		$174.85	$506.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $644.50 / $841.70 / $1,242.33	Professional		$644.50	$841.70	$1,242.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $600.23 / $1,564.12	Professional		$258.63	$600.23	$1,564.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,182.24 / $3,394.19 / $4,784.74	Facility		$1,182.24	$3,394.19	$4,784.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $252.76 / $354.79 / $585.00	Professional		$252.76	$354.79	$585.00
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 $682.37 / $682.37 / $682.37	Facility	52	$682.37	$682.37	$682.37
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $1,398.89 / $4,122.24	Professional		$293.91	$1,398.89	$4,122.24
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 $249.85 / $891.45 / $2,104.41	Professional		$249.85	$891.45	$2,104.41