Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $1,886.00 / $3,625.00	Facility		$226.46	$1,886.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $323.50 / $581.09	Professional		$212.64	$323.50	$581.09
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $543.94 / $1,689.00 / $12,000.00	Facility		$543.94	$1,689.00	$12,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $598.47 / $2,547.04	Professional		$272.89	$598.47	$2,547.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.02 / $349.55 / $623.47	Facility		$272.02	$349.55	$623.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.44 / $591.83 / $935.55	Professional		$391.44	$591.83	$935.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $500.00 / $1,408.94	Facility		$443.00	$500.00	$1,408.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.44 / $488.61 / $1,006.62	Professional		$267.44	$488.61	$1,006.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $496.00 / $6,679.00	Facility		$234.11	$496.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $409.88 / $529.24 / $760.81	Professional		$409.88	$529.24	$760.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $632.36 / $1,090.53	Professional		$336.88	$632.36	$1,090.53
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,850.50 / $3,850.50 / $3,850.50	Facility		$3,850.50	$3,850.50	$3,850.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $342.50 / $644.12	Professional		$171.25	$342.50	$644.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $2,338.00 / $12,000.00	Facility		$822.00	$2,338.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $385.01 / $837.02 / $2,547.04	Professional		$385.01	$837.02	$2,547.04
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 $342.85 / $512.29 / $1,112.52	Professional		$342.85	$512.29	$1,112.52