Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,995.26 / $3,715.35	Facility		$478.63	$1,995.26	$3,715.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	52	$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $389.05 / $912.01	Professional		$91.20	$389.05	$912.01
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,041.74 / $28,840.32	Facility		$457.09	$2,041.74	$28,840.32
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	53	$724.44	$724.44	$724.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $1,949.84	Professional		$213.80	$501.19	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $537.03	Facility		$229.09	$229.09	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $933.25	Professional		$229.09	$524.81	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $676.08 / $1,995.26	Facility		$588.84	$676.08	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $1,000.00	Professional		$223.87	$446.68	$1,000.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $7,079.46	Facility		$181.97	$380.19	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,096.48	Professional		$537.03	$741.31	$1,096.48
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 $213.80 / $501.19 / $1,258.93	Professional		$213.80	$501.19	$1,258.93
Health New England Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $4,570.88	Facility		$870.96	$1,288.25	$4,570.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $616.60	Professional		$91.20	$245.47	$616.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,041.74 / $28,840.32	Facility		$457.09	$2,041.74	$28,840.32
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	53	$724.44	$724.44	$724.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $2,089.30	Professional		$213.80	$501.19	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,019.95 / $8,511.38	Facility		$676.08	$3,019.95	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $1,148.15	Professional		$218.78	$478.63	$1,148.15