Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.00 / $1,572.29 / $3,363.00	Facility		$326.00	$1,572.29	$3,363.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.09 / $65.09 / $108.87	Facility	52	$65.09	$65.09	$108.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.04 / $26.04 / $43.55	Facility	53	$26.04	$26.04	$43.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $249.66 / $762.16	Professional		$123.54	$249.66	$762.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $65.09 / $106.57 / $151.91	Professional	52	$65.09	$106.57	$151.91
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $26.04 / $42.63 / $60.77	Professional	53	$26.04	$42.63	$60.77
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $190.50 / $1,275.80 / $7,958.00	Facility		$190.50	$1,275.80	$7,958.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $311.02 / $311.02 / $311.02	Facility	52	$311.02	$311.02	$311.02
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $77.76 / $77.76 / $77.76	Facility	53	$77.76	$77.76	$77.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $338.60 / $1,582.80	Professional		$101.17	$338.60	$1,582.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.15 / $118.50 / $232.89	Facility		$91.15	$118.50	$232.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $282.57 / $506.69	Professional		$128.75	$282.57	$506.69
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $54.29 / $74.73 / $141.29	Professional	52	$54.29	$74.73	$141.29
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $63.92 / $110.49 / $208.88	Professional	53	$63.92	$110.49	$208.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $299.79 / $694.46	Professional		$119.26	$299.79	$694.46
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $300.00 / $6,679.00	Facility		$83.43	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $265.30 / $411.53	Professional		$140.99	$265.30	$411.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $269.93 / $599.27	Professional		$100.34	$269.93	$599.27
Health New England Facility/Professional Facility Modifier Low / Median / High Price $883.12 / $1,111.58 / $3,201.54	Facility		$883.12	$1,111.58	$3,201.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $243.82 / $588.60	Professional		$127.88	$243.82	$588.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $388.79 / $2,430.00 / $12,000.00	Facility		$388.79	$2,430.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $311.02 / $311.02 / $311.02	Facility	52	$311.02	$311.02	$311.02
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $77.76 / $77.76 / $77.76	Facility	53	$77.76	$77.76	$77.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $613.41 / $1,582.80	Professional		$266.52	$613.41	$1,582.80
Tufts Facility/Professional Facility Modifier Low / Median / High Price $613.29 / $1,014.61 / $1,671.26	Facility		$613.29	$1,014.61	$1,671.26
United Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,408.00 / $7,161.00	Facility		$950.00	$2,408.00	$7,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.63 / $359.68 / $780.87	Professional		$247.63	$359.68	$780.87