Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.47 / $1,845.24 / $3,469.00	Facility		$386.47	$1,845.24	$3,469.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.52 / $197.67 / $1,169.00	Facility	52	$104.52	$197.67	$1,169.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.81 / $130.22 / $240.85	Facility	53	$41.81	$130.22	$240.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $359.27 / $778.16	Professional		$193.28	$359.27	$778.16
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.81 / $98.78 / $215.99	Professional	53	$41.81	$98.78	$215.99
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,550.33 / $16,394.00	Facility		$432.00	$1,550.33	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $716.72 / $716.72 / $716.72	Facility	52	$716.72	$716.72	$716.72
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $179.18 / $236.65 / $286.60	Facility	53	$179.18	$236.65	$286.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $577.46 / $2,852.81	Professional		$262.58	$577.46	$2,852.81
AllWays Health Partners Facility/Professional Professional Modifier 53 Low / Median / High Price $98.25 / $220.77 / $468.36	Professional	53	$98.25	$220.77	$468.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.61 / $327.17 / $583.57	Facility		$254.61	$327.17	$583.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.99 / $457.00 / $747.40	Professional		$302.99	$457.00	$747.40
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $86.37 / $132.18 / $203.43	Professional	53	$86.37	$132.18	$203.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $865.37 / $2,000.00	Facility		$593.00	$865.37	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $444.03 / $969.58	Professional		$244.45	$444.03	$969.58
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $320.00 / $320.00 / $320.00	Professional	53	$320.00	$320.00	$320.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $183.35 / $506.00 / $6,679.00	Facility		$183.35	$506.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $389.38 / $501.74 / $879.71	Professional		$389.38	$501.74	$879.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $497.18 / $945.57	Professional		$269.70	$497.18	$945.57
Health New England Facility/Professional Facility Modifier Low / Median / High Price $825.51 / $1,625.69 / $2,383.62	Facility		$825.51	$1,625.69	$2,383.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $533.96 / $605.00	Professional		$273.75	$533.96	$605.00
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 $716.72 / $716.72 / $716.72	Facility	52	$716.72	$716.72	$716.72
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $179.18 / $179.18 / $179.18	Facility	53	$179.18	$179.18	$179.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $392.80 / $869.28 / $2,852.81	Professional		$392.80	$869.28	$2,852.81
Tufts Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $221.62 / $1,515.80	Facility		$81.06	$221.62	$1,515.80
Tufts Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $170.81 / $374.71	Professional		$92.57	$170.81	$374.71
United Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,338.00 / $5,110.00	Facility		$669.00	$2,338.00	$5,110.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $576.82 / $1,344.09	Professional		$362.34	$576.82	$1,344.09
United Facility/Professional Professional Modifier 53 Low / Median / High Price $165.30 / $267.31 / $267.31	Professional	53	$165.30	$267.31	$267.31