Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.09 / $1,642.00 / $3,612.13	Facility		$471.09	$1,642.00	$3,612.13
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.99 / $235.55 / $1,016.60	Facility	52	$124.99	$235.55	$1,016.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.99 / $49.99 / $94.22	Facility	53	$49.99	$49.99	$94.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.30 / $450.39 / $1,119.91	Professional		$224.30	$450.39	$1,119.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $100.85 / $206.32 / $381.42	Professional	52	$100.85	$206.32	$381.42
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.61 / $82.88 / $135.97	Professional	53	$40.61	$82.88	$135.97
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $462.31 / $1,689.00 / $16,394.00	Facility		$462.31	$1,689.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $779.08 / $779.08 / $779.08	Facility	52	$779.08	$779.08	$779.08
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $194.77 / $194.77 / $194.77	Facility	53	$194.77	$194.77	$194.77
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $731.32 / $3,135.42	Professional		$298.31	$731.32	$3,135.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.95 / $380.30 / $678.32	Facility		$295.95	$380.30	$678.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.03 / $657.45 / $1,079.51	Professional		$418.03	$657.45	$1,079.51
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $186.90 / $243.43 / $328.74	Professional	52	$186.90	$243.43	$328.74
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $103.73 / $160.97 / $269.89	Professional	53	$103.73	$160.97	$269.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,119.06 / $2,000.00	Facility		$593.00	$1,119.06	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $527.53 / $1,132.29	Professional		$279.98	$527.53	$1,132.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $199.36 / $506.00 / $6,679.00	Facility		$199.36	$506.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $639.79 / $1,057.83	Professional		$494.43	$639.79	$1,057.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $294.16 / $544.14 / $1,165.80	Professional		$294.16	$544.14	$1,165.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $764.63 / $1,805.44 / $3,013.72	Facility		$764.63	$1,805.44	$3,013.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $460.20 / $793.87	Professional		$211.52	$460.20	$793.87
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 $779.08 / $779.08 / $779.08	Facility	52	$779.08	$779.08	$779.08
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $194.77 / $194.77 / $194.77	Facility	53	$194.77	$194.77	$194.77
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $504.40 / $1,051.41 / $3,135.42	Professional		$504.40	$1,051.41	$3,135.42
Tufts Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $357.85 / $1,792.29	Facility		$97.31	$357.85	$1,792.29
Tufts Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $239.99 / $494.81	Professional		$115.00	$239.99	$494.81
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 $438.04 / $731.32 / $1,616.81	Professional		$438.04	$731.32	$1,616.81