Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $775.86 / $3,625.00	Facility		$203.58	$775.86	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.94 / $22.94 / $101.79	Facility	52	$22.94	$22.94	$101.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $141.25 / $357.78	Professional		$44.85	$141.25	$357.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $627.00 / $2,733.00	Facility		$95.07	$627.00	$2,733.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $324.45 / $2,111.16	Professional		$53.61	$324.45	$2,111.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $62.33 / $124.08	Facility		$48.66	$62.33	$124.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $254.21 / $507.40	Professional		$68.73	$254.21	$507.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $149.61 / $529.36	Professional		$49.82	$149.61	$529.36
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $300.00 / $6,679.00	Facility		$50.39	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $238.79 / $407.90	Professional		$129.04	$238.79	$407.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $166.69 / $576.05	Professional		$60.29	$166.69	$576.05
Health New England Facility/Professional Facility Modifier Low / Median / High Price $505.44 / $652.72 / $4,648.67	Facility		$505.44	$652.72	$4,648.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $103.38 / $321.30	Professional		$51.69	$103.38	$321.30
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $953.00 / $2,796.00	Facility		$308.00	$953.00	$2,796.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $487.23 / $2,111.16	Professional		$212.21	$487.23	$2,111.16
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $324.45 / $636.23	Professional		$212.21	$324.45	$636.23