Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $2,410.00 / $3,469.00	Facility		$472.50	$2,410.00	$3,469.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $959.50 / $959.50 / $959.50	Facility	22	$959.50	$959.50	$959.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $236.25 / $236.25 / $236.25	Facility	52	$236.25	$236.25	$236.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $94.50 / $94.50 / $94.50	Facility	53	$94.50	$94.50	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $472.50 / $888.50	Professional		$327.11	$472.50	$888.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $322.00 / $1,502.30 / $7,929.30	Facility		$322.00	$1,502.30	$7,929.30
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $670.91 / $6,012.68 / $6,012.68	Facility	52	$670.91	$6,012.68	$6,012.68
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $167.73 / $1,503.17 / $1,503.17	Facility	53	$167.73	$1,503.17	$1,503.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $329.12 / $577.21 / $2,379.76	Professional		$329.12	$577.21	$2,379.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.20 / $627.44 / $833.84	Professional		$478.20	$627.44	$833.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $748.00 / $3,111.82	Facility		$680.00	$748.00	$3,111.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.60 / $612.23 / $1,141.51	Professional		$339.60	$612.23	$1,141.51
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $513.29 / $6,679.00	Facility		$300.00	$513.29	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $369.09 / $461.97 / $667.29	Professional		$369.09	$461.97	$667.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $792.38 / $1,049.73	Professional		$401.41	$792.38	$1,049.73
Health New England Facility/Professional Facility Modifier Low / Median / High Price $945.60 / $1,859.98 / $5,525.24	Facility		$945.60	$1,859.98	$5,525.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $526.02 / $1,016.90	Professional		$499.86	$526.02	$1,016.90
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,866.13 / $7,929.30	Facility		$55.00	$1,866.13	$7,929.30
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $670.91 / $6,012.68 / $6,012.68	Facility	52	$670.91	$6,012.68	$6,012.68
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $167.73 / $1,503.17 / $1,503.17	Facility	53	$167.73	$1,503.17	$1,503.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $374.07 / $605.51 / $2,379.76	Professional		$374.07	$605.51	$2,379.76
Tufts Facility/Professional Facility Modifier Low / Median / High Price $322.48 / $584.58 / $904.47	Facility		$322.48	$584.58	$904.47
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 $362.97 / $523.61 / $1,181.83	Professional		$362.97	$523.61	$1,181.83