Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.93 / $1,273.00 / $3,103.52	Facility		$168.93	$1,273.00	$3,103.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.03 / $37.03 / $84.47	Facility	52	$37.03	$37.03	$84.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.81 / $14.81 / $33.79	Facility	53	$14.81	$14.81	$33.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $168.93 / $501.73	Professional		$71.00	$168.93	$501.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $228.31 / $1,267.00 / $12,000.00	Facility		$228.31	$1,267.00	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $287.27 / $287.27 / $287.27	Facility	52	$287.27	$287.27	$287.27
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $71.81 / $71.81 / $71.81	Facility	53	$71.81	$71.81	$71.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $416.35 / $2,011.44	Professional		$107.90	$416.35	$2,011.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $190.75 / $349.17	Facility		$148.44	$190.75	$349.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $329.76 / $634.61	Professional		$189.11	$329.76	$634.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $500.00 / $1,089.54	Facility		$443.00	$500.00	$1,089.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $254.60 / $770.63	Professional		$98.62	$254.60	$770.63
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 $327.76 / $414.16 / $608.39	Professional		$327.76	$414.16	$608.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $344.47 / $764.76	Professional		$107.10	$344.47	$764.76
Health New England Facility/Professional Facility Modifier Low / Median / High Price $512.01 / $1,188.27 / $2,082.73	Facility		$512.01	$1,188.27	$2,082.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $224.80 / $514.66	Professional		$148.00	$224.80	$514.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $411.30 / $1,878.00 / $12,000.00	Facility		$411.30	$1,878.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $287.27 / $287.27 / $287.27	Facility	52	$287.27	$287.27	$287.27
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $71.81 / $71.81 / $71.81	Facility	53	$71.81	$71.81	$71.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $236.82 / $655.42 / $2,011.44	Professional		$236.82	$655.42	$2,011.44
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 $211.41 / $427.83 / $886.37	Professional		$211.41	$427.83	$886.37