Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.28 / $1,411.87 / $2,994.43	Facility		$142.28	$1,411.87	$2,994.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.35 / $31.35 / $71.14	Facility	52	$31.35	$31.35	$71.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.54 / $28.46 / $28.46	Facility	53	$12.54	$28.46	$28.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $137.25 / $333.27	Professional		$56.84	$137.25	$333.27
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $1,267.00 / $11,500.00	Facility		$138.22	$1,267.00	$11,500.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $227.20 / $227.20 / $227.20	Facility	52	$227.20	$227.20	$227.20
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $56.80 / $56.80 / $56.80	Facility	53	$56.80	$56.80	$56.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $271.70 / $1,331.20	Professional		$85.18	$271.70	$1,331.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $136.24 / $243.21	Facility		$106.02	$136.24	$243.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $247.87 / $478.74	Professional		$138.13	$247.87	$478.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.06 / $331.20 / $500.00	Facility		$263.06	$331.20	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $195.00 / $492.16	Professional		$80.36	$195.00	$492.16
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $168.26 / $6,679.00	Facility		$57.51	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $283.74 / $402.25	Professional		$216.71	$283.74	$402.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $228.15 / $506.52	Professional		$84.40	$228.15	$506.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $584.48 / $1,218.82 / $2,330.32	Facility		$584.48	$1,218.82	$2,330.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $174.16 / $330.26	Professional		$64.79	$174.16	$330.26
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $1,878.00 / $11,500.00	Facility		$323.70	$1,878.00	$11,500.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $227.20 / $227.20 / $227.20	Facility	52	$227.20	$227.20	$227.20
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $56.80 / $56.80 / $56.80	Facility	53	$56.80	$56.80	$56.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $432.25 / $1,331.20	Professional		$177.24	$432.25	$1,331.20
Tufts Facility/Professional Facility Modifier Low / Median / High Price $1,538.21 / $1,538.21 / $1,538.21	Facility		$1,538.21	$1,538.21	$1,538.21
United Facility/Professional Facility Modifier Low / Median / High Price $473.00 / $1,878.00 / $4,142.00	Facility		$473.00	$1,878.00	$4,142.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $250.27 / $579.04	Professional		$160.41	$250.27	$579.04