Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.37 / $1,764.31 / $3,625.00	Facility		$300.37	$1,764.31	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.14 / $92.14 / $211.88	Facility	52	$92.14	$92.14	$211.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.86 / $36.86 / $84.75	Facility	53	$36.86	$36.86	$84.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $337.91 / $651.58	Professional		$179.38	$337.91	$651.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $421.25 / $1,624.91 / $16,394.00	Facility		$421.25	$1,624.91	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $684.69 / $684.69 / $684.69	Facility	52	$684.69	$684.69	$684.69
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $171.17 / $171.17 / $171.17	Facility	53	$171.17	$171.17	$171.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $223.61 / $573.03 / $2,720.72	Professional		$223.61	$573.03	$2,720.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $257.91 / $460.43	Facility		$200.71	$257.91	$460.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $512.85 / $1,000.32	Professional		$283.50	$512.85	$1,000.32
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 $230.51 / $448.05 / $1,029.11	Professional		$230.51	$448.05	$1,029.11
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $175.07 / $506.00 / $6,679.00	Facility		$175.07	$506.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $424.37 / $544.91 / $811.51	Professional		$424.37	$544.91	$811.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $475.68 / $1,027.94	Professional		$258.14	$475.68	$1,027.94
Health New England Facility/Professional Facility Modifier Low / Median / High Price $859.01 / $2,647.40 / $4,206.72	Facility		$859.01	$2,647.40	$4,206.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $360.35 / $665.00	Professional		$140.24	$360.35	$665.00
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 $684.69 / $684.69 / $684.69	Facility	52	$684.69	$684.69	$684.69
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $171.17 / $171.17 / $171.17	Facility	53	$171.17	$171.17	$171.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $892.99 / $2,720.72	Professional		$283.70	$892.99	$2,720.72
Tufts Facility/Professional Facility Modifier Low / Median / High Price $1,336.10 / $1,814.86 / $4,311.85	Facility		$1,336.10	$1,814.86	$4,311.85
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 $262.08 / $573.03 / $1,160.01	Professional		$262.08	$573.03	$1,160.01