Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,137.96 / $3,890.45	Facility		$616.60	$2,137.96	$3,890.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $741.31 / $1,174.90 / $1,258.93	Facility	52	$741.31	$1,174.90	$1,258.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.66 / $141.25 / $338.84	Facility	53	$61.66	$141.25	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $1,096.48	Professional		$181.97	$380.19	$1,096.48
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.43 / $158.49 / $346.74	Professional	53	$79.43	$158.49	$346.74
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,949.84 / $28,840.32	Facility		$426.58	$1,949.84	$28,840.32
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $234.42 / $263.03 / $549.54	Facility	53	$234.42	$263.03	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $2,511.89	Professional		$194.98	$407.38	$2,511.89
AllWays Health Partners Facility/Professional Professional Modifier 53 Low / Median / High Price $97.72 / $199.53 / $436.52	Professional	53	$97.72	$199.53	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $575.44	Facility		$257.04	$257.04	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $741.31	Professional		$257.04	$436.52	$741.31
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $63.10 / $117.49 / $186.21	Professional	53	$63.10	$117.49	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $1,995.26	Facility		$588.84	$645.65	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $831.76	Professional		$213.80	$398.11	$831.76
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $323.59 / $323.59 / $776.25	Professional	53	$323.59	$323.59	$776.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $501.19 / $7,079.46	Facility		$169.82	$501.19	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,162.28 / $8,511.38	Facility		$616.60	$3,162.28	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $954.99	Professional		$199.53	$436.52	$954.99
Health New England Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $2,570.40	Facility		$870.96	$1,862.09	$2,570.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $549.54 / $758.58	Professional		$208.93	$549.54	$758.58
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,949.84 / $28,840.32	Facility		$426.58	$1,949.84	$28,840.32
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $234.42 / $263.03 / $549.54	Facility	53	$234.42	$263.03	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $2,884.03	Professional		$194.98	$407.38	$2,884.03
Mass General Brigham Facility/Professional Professional Modifier 53 Low / Median / High Price $97.72 / $199.53 / $436.52	Professional	53	$97.72	$199.53	$436.52
Tufts Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $912.01	Facility		$67.61	$89.13	$912.01
Tufts Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $181.97	Professional		$77.62	$109.65	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,691.53 / $8,511.38	Facility		$676.08	$2,691.53	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $912.01	Professional		$199.53	$416.87	$912.01