Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,497.88 / $4,920.91 / $9,275.29	Facility		$2,497.88	$4,920.91	$9,275.29
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,253.00 / $3,253.00 / $3,253.00	Facility	22	$3,253.00	$3,253.00	$3,253.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $316.38 / $316.38 / $316.38	Facility	52	$316.38	$316.38	$316.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.55 / $126.55 / $126.55	Facility	53	$126.55	$126.55	$126.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.75 / $979.14 / $2,956.00	Professional		$632.75	$979.14	$2,956.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,538.46 / $4,956.00 / $15,421.00	Facility		$1,538.46	$4,956.00	$15,421.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $1,314.07 / $12,302.24 / $12,302.24	Facility	52	$1,314.07	$12,302.24	$12,302.24
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $328.52 / $3,075.56 / $3,075.56	Facility	53	$328.52	$3,075.56	$3,075.56
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $164.26 / $1,537.78 / $1,537.78	Facility	AS	$164.26	$1,537.78	$1,537.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $698.07 / $1,299.31 / $4,971.47	Professional		$698.07	$1,299.31	$4,971.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.52 / $1,275.69 / $1,702.07	Professional		$912.52	$1,275.69	$1,702.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $2,950.00 / $5,483.49	Facility		$1,770.00	$2,950.00	$5,483.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $1,125.67 / $2,287.67	Professional		$637.00	$1,125.67	$2,287.67
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $651.09 / $1,397.06 / $6,679.00	Facility		$651.09	$1,397.06	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $747.13 / $944.08 / $1,460.33	Professional		$747.13	$944.08	$1,460.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $821.66 / $1,621.96 / $2,046.43	Professional		$821.66	$1,621.96	$2,046.43
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,397.81 / $5,232.68 / $10,953.80	Facility		$1,397.81	$5,232.68	$10,953.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $1,130.22 / $1,981.84	Professional		$150.09	$1,130.22	$1,981.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $6,078.00 / $16,223.75	Facility		$1,697.00	$6,078.00	$16,223.75
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $1,314.07 / $12,302.24 / $12,302.24	Facility	52	$1,314.07	$12,302.24	$12,302.24
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $328.52 / $3,075.56 / $3,075.56	Facility	53	$328.52	$3,075.56	$3,075.56
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $164.26 / $1,537.78 / $1,537.78	Facility	AS	$164.26	$1,537.78	$1,537.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $725.52 / $1,299.31 / $4,971.47	Professional		$725.52	$1,299.31	$4,971.47
Tufts Facility/Professional Facility Modifier Low / Median / High Price $533.75 / $797.89 / $8,868.67	Facility		$533.75	$797.89	$8,868.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $4,671.00 / $13,017.00	Facility		$1,697.00	$4,671.00	$13,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.35 / $1,019.63 / $2,239.80	Professional		$708.35	$1,019.63	$2,239.80