Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.03 / $1,758.00 / $3,398.55	Facility		$342.03	$1,758.00	$3,398.55
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.46 / $237.63 / $237.63	Facility	52	$118.46	$237.63	$237.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.38 / $47.38 / $95.05	Facility	53	$47.38	$47.38	$95.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $350.55 / $662.53	Professional		$198.54	$350.55	$662.53
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $461.68 / $1,640.00 / $16,394.00	Facility		$461.68	$1,640.00	$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 $297.75 / $702.61 / $3,137.04	Professional		$297.75	$702.61	$3,137.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.48 / $293.60 / $530.44	Facility		$228.48	$293.60	$530.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $586.66 / $1,101.56	Professional		$320.33	$586.66	$1,101.56
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 $265.10 / $513.66 / $1,156.32	Professional		$265.10	$513.66	$1,156.32
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $199.36 / $416.62 / $6,679.00	Facility		$199.36	$416.62	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $504.28 / $652.86 / $1,057.89	Professional		$504.28	$652.86	$1,057.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $294.16 / $548.73 / $1,188.53	Professional		$294.16	$548.73	$1,188.53
Health New England Facility/Professional Facility Modifier Low / Median / High Price $452.14 / $1,164.25 / $4,556.76	Facility		$452.14	$1,164.25	$4,556.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $204.36 / $593.05	Professional		$90.41	$204.36	$593.05
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 $500.94 / $1,075.26 / $3,137.04	Professional		$500.94	$1,075.26	$3,137.04
Tufts Facility/Professional Facility Modifier Low / Median / High Price $581.63 / $1,540.26 / $1,829.56	Facility		$581.63	$1,540.26	$1,829.56
United Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $3,133.00 / $8,425.00	Facility		$822.00	$3,133.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.54 / $679.59 / $1,570.05	Professional		$462.54	$679.59	$1,570.05