Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.74 / $2,094.00 / $3,384.99	Facility		$158.74	$2,094.00	$3,384.99
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.37 / $79.37 / $79.37	Facility	52	$79.37	$79.37	$79.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $176.80 / $697.26	Professional		$115.80	$176.80	$697.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $367.31 / $1,689.00 / $12,000.00	Facility		$367.31	$1,689.00	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $459.95 / $459.95 / $459.95	Facility	52	$459.95	$459.95	$459.95
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $759.86 / $3,408.32	Professional		$174.22	$759.86	$3,408.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $173.01 / $343.33	Facility		$134.63	$173.01	$343.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $590.75 / $1,179.14	Professional		$188.77	$590.75	$1,179.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $500.00 / $1,408.94	Facility		$443.00	$500.00	$1,408.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $364.93 / $1,434.95	Professional		$165.00	$364.93	$1,434.95
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $117.17 / $377.00 / $6,679.00	Facility		$117.17	$377.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $534.22 / $700.17 / $1,029.77	Professional		$534.22	$700.17	$1,029.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $582.86 / $1,294.01	Professional		$172.25	$582.86	$1,294.01
Health New England Facility/Professional Facility Modifier Low / Median / High Price $941.13 / $941.13 / $1,763.01	Facility		$941.13	$941.13	$1,763.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $502.00 / $502.00	Professional		$502.00	$502.00	$502.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $662.80 / $2,338.00 / $12,000.00	Facility		$662.80	$2,338.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $459.95 / $459.95 / $459.95	Facility	52	$459.95	$459.95	$459.95
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $1,260.48 / $3,408.32	Professional		$231.43	$1,260.48	$3,408.32
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 $211.26 / $743.85 / $1,708.81	Professional		$211.26	$743.85	$1,708.81