Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $3,391.73 / $8,060.12	Facility		$1,227.00	$3,391.73	$8,060.12
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,663.12 / $2,663.12 / $2,663.12	Facility	22	$2,663.12	$2,663.12	$2,663.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,658.89 / $6,511.28 / $9,831.94	Facility	50	$2,658.89	$6,511.28	$9,831.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.01 / $638.07 / $2,139.00	Professional		$454.01	$638.07	$2,139.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,170.63 / $3,245.00 / $26,542.00	Facility		$1,170.63	$3,245.00	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $130.91 / $905.99 / $905.99	Facility	AS	$130.91	$905.99	$905.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $533.49 / $969.59 / $4,201.45	Professional		$533.49	$969.59	$4,201.45
BCBS Facility/Professional Facility Modifier 80 Low / Median / High Price $97.89 / $125.79 / $158.78	Facility	80	$97.89	$125.79	$158.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.44 / $611.79 / $1,270.50	Professional		$214.44	$611.79	$1,270.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.00 / $920.70 / $3,751.11	Facility		$837.00	$920.70	$3,751.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $858.34 / $1,822.23	Professional		$439.56	$858.34	$1,822.23
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $518.66 / $1,115.52 / $6,679.00	Facility		$518.66	$1,115.52	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $595.16 / $752.98 / $1,104.77	Professional		$595.16	$752.98	$1,104.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $652.90 / $1,288.82 / $1,626.11	Professional		$652.90	$1,288.82	$1,626.11
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,931.28 / $5,421.11 / $7,610.01	Facility		$2,931.28	$5,421.11	$7,610.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $930.72 / $1,578.38	Professional		$116.77	$930.72	$1,578.38
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $5,572.00 / $26,542.00	Facility		$1,485.00	$5,572.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $130.91 / $905.99 / $905.99	Facility	AS	$130.91	$905.99	$905.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $569.00 / $1,028.60 / $4,201.45	Professional		$569.00	$1,028.60	$4,201.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $3,245.00 / $7,608.00	Facility		$1,485.00	$3,245.00	$7,608.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.48 / $780.86 / $1,686.92	Professional		$547.48	$780.86	$1,686.92