Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.39 / $988.00 / $2,900.00	Facility		$76.39	$988.00	$2,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.61 / $15.61 / $38.20	Facility	52	$15.61	$15.61	$38.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $76.39 / $157.02	Professional		$31.21	$76.39	$157.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.61 / $32.97 / $57.03	Professional	52	$15.61	$32.97	$57.03
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $232.25 / $2,713.00	Facility		$57.59	$232.25	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $96.18 / $96.18 / $96.18	Facility	52	$96.18	$96.18	$96.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $118.09 / $570.92	Professional		$31.77	$118.09	$570.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $36.58 / $71.90	Facility		$28.14	$36.58	$71.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $87.23 / $156.43	Professional		$35.90	$87.23	$156.43
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $43.62 / $43.62 / $43.62	Professional	52	$43.62	$43.62	$43.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $90.85 / $204.47	Professional		$38.02	$90.85	$204.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $98.28 / $6,679.00	Facility		$29.11	$98.28	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $75.84 / $115.35	Professional		$39.38	$75.84	$115.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $75.78 / $167.85	Professional		$31.07	$75.78	$167.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $171.81 / $571.54	Facility		$96.73	$171.81	$571.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $55.07 / $205.12	Professional		$32.28	$55.07	$205.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,445.00	Facility		$55.00	$1,078.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $96.18 / $96.18 / $96.18	Facility	52	$96.18	$96.18	$96.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $166.21 / $570.92	Professional		$85.88	$166.21	$570.92
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 $75.78 / $120.25 / $230.56	Professional		$75.78	$120.25	$230.56