Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $1,758.00 / $3,693.00	Facility		$529.61	$1,758.00	$3,693.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.13 / $264.81 / $264.81	Facility	52	$148.13	$264.81	$264.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.25 / $105.92 / $105.92	Facility	53	$59.25	$105.92	$105.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.14 / $436.19 / $913.76	Professional		$263.14	$436.19	$913.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $52.63 / $88.77 / $172.65	Professional	53	$52.63	$88.77	$172.65
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $584.44 / $1,689.00 / $16,394.00	Facility		$584.44	$1,689.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $982.11 / $982.11 / $982.11	Facility	52	$982.11	$982.11	$982.11
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $245.53 / $245.53 / $245.53	Facility	53	$245.53	$245.53	$245.53
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $350.29 / $779.58 / $3,552.73	Professional		$350.29	$779.58	$3,552.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.20 / $442.30 / $788.91	Facility		$344.20	$442.30	$788.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $587.96 / $966.92	Professional		$206.52	$587.96	$966.92
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $123.83 / $190.86 / $280.60	Professional	53	$123.83	$190.86	$280.60
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 $334.50 / $600.74 / $1,298.18	Professional		$334.50	$600.74	$1,298.18
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $251.37 / $524.76 / $6,679.00	Facility		$251.37	$524.76	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $517.11 / $665.21 / $1,168.28	Professional		$517.11	$665.21	$1,168.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $362.98 / $681.36 / $1,299.49	Professional		$362.98	$681.36	$1,299.49
Health New England Facility/Professional Facility Modifier Low / Median / High Price $752.76 / $1,890.69 / $3,274.02	Facility		$752.76	$1,890.69	$3,274.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $389.93 / $625.00 / $779.85	Professional		$389.93	$625.00	$779.85
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 $982.11 / $982.11 / $982.11	Facility	52	$982.11	$982.11	$982.11
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $245.53 / $245.53 / $245.53	Facility	53	$245.53	$245.53	$245.53
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $543.33 / $1,157.63 / $3,552.73	Professional		$543.33	$1,157.63	$3,552.73
Tufts Facility/Professional Facility Modifier Low / Median / High Price $203.83 / $507.12 / $1,680.28	Facility		$203.83	$507.12	$1,680.28
Tufts Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $350.29 / $706.46	Professional		$230.62	$350.29	$706.46
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 $490.22 / $824.75 / $1,806.76	Professional		$490.22	$824.75	$1,806.76