Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,425.13 / $2,900.00 / $6,473.31	Facility		$2,425.13	$2,900.00	$6,473.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.59 / $699.71 / $1,422.47	Professional		$528.59	$699.71	$1,422.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,997.00 / $12,379.00	Facility		$1,313.00	$3,997.00	$12,379.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $150.56 / $150.56 / $900.13	Facility	AS	$150.56	$150.56	$900.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $568.54 / $1,087.64 / $4,240.88	Professional		$568.54	$1,087.64	$4,240.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.57 / $1,145.14 / $1,868.06	Professional		$572.57	$1,145.14	$1,868.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.79 / $1,221.31 / $2,252.02	Professional		$697.79	$1,221.31	$2,252.02
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $587.23 / $1,273.33 / $6,679.00	Facility		$587.23	$1,273.33	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $365.32 / $673.85 / $1,086.38	Professional		$365.32	$673.85	$1,086.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $726.63 / $1,449.19 / $2,127.44	Professional		$726.63	$1,449.19	$2,127.44
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,780.56 / $5,510.41 / $6,052.98	Facility		$1,780.56	$5,510.41	$6,052.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $928.74 / $933.24 / $1,817.47	Professional		$928.74	$933.24	$1,817.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $4,525.00 / $26,542.00	Facility		$1,902.00	$4,525.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $150.56 / $150.56 / $900.13	Facility	AS	$150.56	$150.56	$900.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $633.34 / $1,105.68 / $4,240.88	Professional		$633.34	$1,105.68	$4,240.88
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 $628.34 / $870.14 / $1,862.36	Professional		$628.34	$870.14	$1,862.36