Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $2,733.00 / $5,021.56	Facility		$1,020.00	$2,733.00	$5,021.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,566.00 / $4,566.00 / $4,566.00	Facility	50	$4,566.00	$4,566.00	$4,566.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $155.25 / $155.25 / $155.25	Facility	52	$155.25	$155.25	$155.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.10 / $62.10 / $62.10	Facility	53	$62.10	$62.10	$62.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.49 / $454.02 / $1,284.86	Professional		$310.49	$454.02	$1,284.86
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $712.62 / $3,818.90 / $12,379.00	Facility		$712.62	$3,818.90	$12,379.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $613.42 / $613.42 / $7,119.48	Facility	52	$613.42	$613.42	$7,119.48
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $153.36 / $153.36 / $1,779.87	Facility	53	$153.36	$153.36	$1,779.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $295.88 / $590.67 / $2,853.12	Professional		$295.88	$590.67	$2,853.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.63 / $600.45 / $1,088.25	Professional		$397.63	$600.45	$1,088.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $442.13 / $6,679.00	Facility		$214.32	$442.13	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $345.08 / $544.38	Professional		$181.35	$345.08	$544.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $368.23 / $734.40 / $1,107.59	Professional		$368.23	$734.40	$1,107.59
Health New England Facility/Professional Facility Modifier Low / Median / High Price $583.22 / $2,941.55 / $8,091.82	Facility		$583.22	$2,941.55	$8,091.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $452.64 / $647.79 / $710.05	Professional		$452.64	$647.79	$710.05
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,103.52 / $4,525.00 / $26,542.00	Facility		$1,103.52	$4,525.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $613.42 / $613.42 / $7,119.48	Facility	52	$613.42	$613.42	$7,119.48
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $153.36 / $153.36 / $1,779.87	Facility	53	$153.36	$153.36	$1,779.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $624.58 / $2,853.12	Professional		$337.73	$624.58	$2,853.12
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 $337.73 / $470.26 / $1,129.06	Professional		$337.73	$470.26	$1,129.06