Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $2,547.00 / $3,693.00	Facility		$886.00	$2,547.00	$3,693.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.97 / $114.97 / $471.02	Facility	52	$114.97	$114.97	$471.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.99 / $45.99 / $188.41	Facility	53	$45.99	$45.99	$188.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $614.60 / $1,406.12	Professional		$229.94	$614.60	$1,406.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $442.56 / $2,575.00 / $5,714.00	Facility		$442.56	$2,575.00	$5,714.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $782.54 / $782.54 / $782.54	Facility	52	$782.54	$782.54	$782.54
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $195.63 / $195.63 / $195.63	Facility	53	$195.63	$195.63	$195.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $1,352.51 / $4,207.89	Professional		$223.44	$1,352.51	$4,207.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.94 / $297.62 / $584.94	Facility		$228.94	$297.62	$584.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $456.96 / $2,159.11	Professional		$456.96	$456.96	$2,159.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $1,065.26 / $2,746.60	Professional		$301.00	$1,065.26	$2,746.60
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $197.14 / $304.56 / $6,679.00	Facility		$197.14	$304.56	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $565.88 / $1,017.01 / $1,639.62	Professional		$565.88	$1,017.01	$1,639.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $1,068.65 / $2,372.51	Professional		$252.32	$1,068.65	$2,372.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $494.42 / $3,401.99 / $5,235.96	Facility		$494.42	$3,401.99	$5,235.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $312.30 / $480.66	Professional		$288.05	$312.30	$480.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $9,039.00	Facility		$55.00	$2,854.00	$9,039.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $782.54 / $782.54 / $782.54	Facility	52	$782.54	$782.54	$782.54
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $195.63 / $195.63 / $195.63	Facility	53	$195.63	$195.63	$195.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,085.74 / $2,045.36 / $6,260.24	Professional		$1,085.74	$2,045.36	$6,260.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.65 / $1,430.03 / $3,379.64	Professional		$1,068.65	$1,430.03	$3,379.64