Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $3,810.00 / $8,767.00	Facility		$1,924.00	$3,810.00	$8,767.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,249.00 / $1,249.00 / $2,612.00	Facility	22	$1,249.00	$1,249.00	$2,612.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,592.59 / $4,464.00 / $8,892.45	Facility	50	$2,592.59	$4,464.00	$8,892.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.64 / $691.71 / $1,700.00	Professional		$425.64	$691.71	$1,700.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $894.04 / $3,728.00 / $9,967.00	Facility		$894.04	$3,728.00	$9,967.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $349.04 / $694.90 / $2,991.20	Professional		$349.04	$694.90	$2,991.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.24 / $783.63 / $1,197.84	Professional		$597.24	$783.63	$1,197.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $822.75 / $1,491.16	Professional		$540.00	$822.75	$1,491.16
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $403.12 / $854.80 / $6,679.00	Facility		$403.12	$854.80	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $248.44 / $462.58 / $745.77	Professional		$248.44	$462.58	$745.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $504.63 / $1,006.43 / $1,518.14	Professional		$504.63	$1,006.43	$1,518.14
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,793.01 / $4,994.49 / $12,250.36	Facility		$2,793.01	$4,994.49	$12,250.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $641.38 / $867.83 / $1,808.60	Professional		$641.38	$867.83	$1,808.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,916.00 / $13,773.00	Facility		$55.00	$4,916.00	$13,773.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $468.53 / $812.06 / $2,991.20	Professional		$468.53	$812.06	$2,991.20
Tufts Facility/Professional Facility Modifier Low / Median / High Price $3,267.68 / $7,244.52 / $9,748.12	Facility		$3,267.68	$7,244.52	$9,748.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.53 / $645.65 / $1,454.33	Professional		$468.53	$645.65	$1,454.33