Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.97 / $3,490.85 / $8,767.00	Facility		$630.97	$3,490.85	$8,767.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,924.00 / $4,620.00 / $10,251.26	Facility	50	$1,924.00	$4,620.00	$10,251.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $537.27 / $1,620.13	Professional		$375.64	$537.27	$1,620.13
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,018.65 / $4,705.13 / $26,542.00	Facility		$1,018.65	$4,705.13	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $108.82 / $1,537.78 / $1,537.78	Facility	AS	$108.82	$1,537.78	$1,537.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $437.43 / $848.47 / $3,959.35	Professional		$437.43	$848.47	$3,959.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $851.46 / $1,190.91	Professional		$606.66	$851.46	$1,190.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.00 / $920.70 / $6,366.94	Facility		$837.00	$920.70	$6,366.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.12 / $716.30 / $1,510.86	Professional		$435.12	$716.30	$1,510.86
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $431.02 / $928.78 / $6,679.00	Facility		$431.02	$928.78	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $494.60 / $626.92 / $918.07	Professional		$494.60	$626.92	$918.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $541.49 / $1,068.90 / $1,348.64	Professional		$541.49	$1,068.90	$1,348.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,894.20 / $5,425.71 / $12,392.58	Facility		$1,894.20	$5,425.71	$12,392.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $803.86 / $1,412.10	Professional		$104.99	$803.86	$1,412.10
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $6,883.00 / $26,542.00	Facility		$1,697.00	$6,883.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $108.82 / $1,537.78 / $1,537.78	Facility	AS	$108.82	$1,537.78	$1,537.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $464.27 / $848.47 / $3,959.35	Professional		$464.27	$848.47	$3,959.35
Tufts Facility/Professional Facility Modifier Low / Median / High Price $305.66 / $2,801.42 / $11,293.70	Facility		$305.66	$2,801.42	$11,293.70
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 $440.56 / $633.98 / $1,588.47	Professional		$440.56	$633.98	$1,588.47