Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.73 / $1,473.20 / $3,625.00	Facility		$223.73	$1,473.20	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $124.00 / $241.46	Professional		$72.50	$124.00	$241.46
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $251.47 / $1,624.91 / $12,000.00	Facility		$251.47	$1,624.91	$12,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $280.42 / $1,343.84	Professional		$118.45	$280.42	$1,343.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.33 / $159.76 / $285.20	Facility		$124.33	$159.76	$285.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $276.20 / $498.39	Professional		$170.08	$276.20	$498.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $500.00 / $1,120.52	Facility		$443.00	$500.00	$1,120.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $220.51 / $513.84	Professional		$102.50	$220.51	$513.84
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $377.00 / $6,679.00	Facility		$83.43	$377.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $281.93 / $402.57	Professional		$216.88	$281.93	$402.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $229.38 / $508.08	Professional		$117.46	$229.38	$508.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $420.46 / $1,718.81 / $1,800.74	Facility		$420.46	$1,718.81	$1,800.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $122.88 / $122.88	Professional		$122.88	$122.88	$122.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $2,338.00 / $12,000.00	Facility		$632.59	$2,338.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $443.34 / $1,343.84	Professional		$184.55	$443.34	$1,343.84
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 $167.70 / $271.00 / $603.84	Professional		$167.70	$271.00	$603.84