Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $2,663.12 / $4,806.64	Facility		$80.09	$2,663.12	$4,806.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $86.18 / $239.73	Professional		$47.37	$86.18	$239.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.69 / $39.07 / $55.71	Professional	52	$23.69	$39.07	$55.71
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.47 / $16.02 / $24.21	Professional	53	$9.47	$16.02	$24.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $393.05 / $2,733.00	Facility		$100.59	$393.05	$2,733.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $118.33 / $533.04	Professional		$56.52	$118.33	$533.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $67.73 / $119.52	Facility		$52.10	$67.73	$119.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $103.99 / $235.94	Professional		$49.42	$103.99	$235.94
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $41.83 / $72.31 / $117.97	Professional	52	$41.83	$72.31	$117.97
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $20.92 / $36.15 / $58.99	Professional	53	$20.92	$36.15	$58.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $121.95 / $209.95	Professional		$65.59	$121.95	$209.95
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $168.26 / $6,679.00	Facility		$53.32	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $88.51 / $136.86	Professional		$46.14	$88.51	$136.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $124.78 / $202.78	Professional		$57.93	$124.78	$202.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $345.58 / $422.18	Facility		$218.88	$345.58	$422.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $116.89 / $179.25	Professional		$62.57	$116.89	$179.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,445.00	Facility		$55.00	$1,078.00	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $172.80 / $533.04	Professional		$92.50	$172.80	$533.04
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $126.51 / $327.13	Professional		$84.89	$126.51	$327.13