Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.21 / $1,758.00 / $3,363.00	Facility		$181.21	$1,758.00	$3,363.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.94 / $53.94 / $153.02	Facility	52	$53.94	$53.94	$153.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.57 / $21.57 / $61.21	Facility	53	$21.57	$21.57	$61.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $276.27 / $503.95	Professional		$96.35	$276.27	$503.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $116.05 / $822.00 / $4,569.00	Facility		$116.05	$822.00	$4,569.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $412.53 / $412.53 / $412.53	Facility	52	$412.53	$412.53	$412.53
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $103.13 / $103.13 / $103.13	Facility	53	$103.13	$103.13	$103.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $491.87 / $1,729.75	Professional		$147.81	$491.87	$1,729.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.63 / $155.01 / $307.61	Facility		$120.63	$155.01	$307.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $201.68 / $607.04	Professional		$46.14	$201.68	$607.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $748.00 / $1,120.52	Facility		$680.00	$748.00	$1,120.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $333.74 / $774.83	Professional		$139.59	$333.74	$774.83
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $377.00 / $6,679.00	Facility		$105.62	$377.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $431.77 / $695.10	Professional		$332.27	$431.77	$695.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $337.40 / $777.53	Professional		$155.47	$337.40	$777.53
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,058.94 / $1,659.05 / $2,260.60	Facility		$1,058.94	$1,659.05	$2,260.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $171.08 / $324.13	Professional		$136.10	$171.08	$324.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,267.00 / $4,755.00	Facility		$55.00	$1,267.00	$4,755.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $412.53 / $412.53 / $412.53	Facility	52	$412.53	$412.53	$412.53
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $103.13 / $103.13 / $103.13	Facility	53	$103.13	$103.13	$103.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $666.29 / $2,062.48	Professional		$359.71	$666.29	$2,062.48
Tufts Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $581.63 / $1,558.77	Facility		$77.68	$581.63	$1,558.77
Tufts Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $85.45 / $167.97	Professional		$85.45	$85.45	$167.97
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 $331.51 / $518.58 / $1,142.81	Professional		$331.51	$518.58	$1,142.81