Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $2,252.79 / $3,625.00	Facility		$699.00	$2,252.79	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $793.48 / $793.48 / $793.48	Facility	52	$793.48	$793.48	$793.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $692.45 / $1,296.78	Professional		$202.51	$692.45	$1,296.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $220.07 / $1,465.89 / $4,689.00	Facility		$220.07	$1,465.89	$4,689.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $782.61 / $782.61 / $782.61	Facility	52	$782.61	$782.61	$782.61
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $195.65 / $195.65 / $195.65	Facility	53	$195.65	$195.65	$195.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $291.11 / $1,563.21 / $6,102.84	Professional		$291.11	$1,563.21	$6,102.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.11 / $294.41 / $584.23	Facility		$229.11	$294.41	$584.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.54 / $1,077.15 / $2,151.51	Professional		$350.54	$1,077.15	$2,151.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $748.00 / $1,923.56	Facility		$479.00	$748.00	$1,923.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $688.28 / $2,387.00	Professional		$266.98	$688.28	$2,387.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $201.01 / $417.76 / $6,679.00	Facility		$201.01	$417.76	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $930.68 / $1,217.10 / $2,102.65	Professional		$930.68	$1,217.10	$2,102.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $832.10 / $2,168.35	Professional		$296.63	$832.10	$2,168.35
Health New England Facility/Professional Facility Modifier Low / Median / High Price $564.82 / $1,123.66 / $4,029.34	Facility		$564.82	$1,123.66	$4,029.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $406.15 / $1,589.07	Professional		$159.31	$406.15	$1,589.07
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,465.89 / $4,755.00	Facility		$55.00	$1,465.89	$4,755.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $782.61 / $782.61 / $782.61	Facility	52	$782.61	$782.61	$782.61
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $195.65 / $195.65 / $195.65	Facility	53	$195.65	$195.65	$195.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,134.14 / $2,211.44 / $6,102.84	Professional		$1,134.14	$2,211.44	$6,102.84
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 $1,031.18 / $1,625.33 / $3,363.06	Professional		$1,031.18	$1,625.33	$3,363.06