Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $2,209.06 / $3,469.00	Facility		$612.94	$2,209.06	$3,469.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.61 / $158.61 / $306.47	Facility	52	$158.61	$158.61	$306.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.44 / $63.44 / $122.59	Facility	53	$63.44	$63.44	$122.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $577.42 / $1,026.25	Professional		$282.70	$577.42	$1,026.25
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $595.60 / $1,689.00 / $16,394.00	Facility		$595.60	$1,689.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $1,001.00 / $1,001.00 / $1,001.00	Facility	52	$1,001.00	$1,001.00	$1,001.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $250.25 / $250.25 / $250.25	Facility	53	$250.25	$250.25	$250.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $383.64 / $1,050.11 / $4,654.56	Professional		$383.64	$1,050.11	$4,654.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.89 / $527.99 / $942.58	Facility		$410.89	$527.99	$942.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.38 / $942.56 / $1,579.63	Professional		$580.38	$942.56	$1,579.63
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 $339.60 / $687.81 / $1,765.15	Professional		$339.60	$687.81	$1,765.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $256.13 / $534.70 / $6,679.00	Facility		$256.13	$534.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $750.10 / $974.05 / $1,462.09	Professional		$750.10	$974.05	$1,462.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $377.57 / $793.80 / $1,758.27	Professional		$377.57	$793.80	$1,758.27
Health New England Facility/Professional Facility Modifier Low / Median / High Price $895.38 / $2,252.07 / $8,197.95	Facility		$895.38	$2,252.07	$8,197.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $622.00 / $1,019.00	Professional		$217.17	$622.00	$1,019.00
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 $1,001.00 / $1,001.00 / $1,001.00	Facility	52	$1,001.00	$1,001.00	$1,001.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $250.25 / $250.25 / $250.25	Facility	53	$250.25	$250.25	$250.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $784.56 / $1,717.28 / $4,654.56	Professional		$784.56	$1,717.28	$4,654.56
United Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,338.00 / $4,952.00	Facility		$669.00	$2,338.00	$4,952.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.49 / $1,026.23 / $2,290.35	Professional		$718.49	$1,026.23	$2,290.35