Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.99 / $2,212.98 / $5,454.00	Facility		$660.99	$2,212.98	$5,454.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $628.89 / $1,812.25 / $6,157.06	Facility	50	$628.89	$1,812.25	$6,157.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.18 / $80.18 / $267.94	Facility	52	$80.18	$80.18	$267.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.07 / $32.07 / $107.18	Facility	53	$32.07	$32.07	$107.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.36 / $446.52 / $1,257.65	Professional		$160.36	$446.52	$1,257.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.25 / $816.67 / $2,051.44	Professional	50	$108.25	$816.67	$2,051.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $368.64 / $3,764.00 / $12,379.00	Facility		$368.64	$3,764.00	$12,379.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $606.59 / $606.59 / $606.59	Facility	52	$606.59	$606.59	$606.59
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $151.65 / $151.65 / $151.65	Facility	53	$151.65	$151.65	$151.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $667.37 / $4,871.00	Professional		$173.60	$667.37	$4,871.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.78 / $231.11 / $454.23	Facility		$177.78	$231.11	$454.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.83 / $505.23 / $988.26	Professional		$255.83	$505.23	$988.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.14 / $533.08 / $1,420.33	Professional		$230.14	$533.08	$1,420.33
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $324.18 / $6,679.00	Facility		$155.27	$324.18	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $460.20 / $698.76	Professional		$238.97	$460.20	$698.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $459.16 / $1,019.38	Professional		$194.80	$459.16	$1,019.38
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,031.54 / $3,274.02 / $7,325.86	Facility		$1,031.54	$3,274.02	$7,325.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $247.16 / $454.83	Professional		$167.63	$247.16	$454.83
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $175.31 / $175.31 / $259.50	Professional	50	$175.31	$175.31	$259.50
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $969.57 / $4,249.00 / $16,394.00	Facility		$969.57	$4,249.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $606.59 / $606.59 / $606.59	Facility	52	$606.59	$606.59	$606.59
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $151.65 / $151.65 / $151.65	Facility	53	$151.65	$151.65	$151.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $528.29 / $1,113.18 / $4,871.00	Professional		$528.29	$1,113.18	$4,871.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $113.01 / $2,786.83 / $5,734.21	Facility		$113.01	$2,786.83	$5,734.21
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 $382.69 / $749.25 / $1,781.90	Professional		$382.69	$749.25	$1,781.90