Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $1,758.00 / $3,625.00	Facility		$390.00	$1,758.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $270.00 / $686.00	Professional		$137.99	$270.00	$686.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $293.10 / $652.89 / $2,733.00	Facility		$293.10	$652.89	$2,733.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $312.72 / $1,212.56	Professional		$138.34	$312.72	$1,212.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $199.53 / $352.63	Facility		$153.72	$199.53	$352.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.13 / $306.83 / $431.46	Professional		$217.13	$306.83	$431.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $308.79 / $606.48	Professional		$165.70	$308.79	$606.48
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $214.32 / $6,679.00	Facility		$133.94	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $192.02 / $309.58	Professional		$103.74	$192.02	$309.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $357.15 / $502.94	Professional		$168.78	$357.15	$502.94
Health New England Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $604.19 / $4,352.78	Facility		$160.88	$604.19	$4,352.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $342.67 / $541.83	Professional		$210.12	$342.67	$541.83
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 $204.15 / $385.75 / $1,212.56	Professional		$204.15	$385.75	$1,212.56
Tufts Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $141.01 / $280.88	Professional		$141.01	$141.01	$280.88
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 $186.64 / $251.46 / $523.97	Professional		$186.64	$251.46	$523.97