Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.66 / $1,294.00 / $3,363.00	Facility		$319.66	$1,294.00	$3,363.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.09 / $44.09 / $56.06	Facility	52	$44.09	$44.09	$56.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.63 / $17.63 / $22.42	Facility	53	$17.63	$17.63	$22.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $176.26 / $466.00	Professional		$88.17	$176.26	$466.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.09 / $56.06 / $121.32	Professional	52	$44.09	$56.06	$121.32
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $17.63 / $25.31 / $71.79	Professional	53	$17.63	$25.31	$71.79
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $393.05 / $2,733.00	Facility		$138.15	$393.05	$2,733.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $242.40 / $242.40 / $242.40	Facility	52	$242.40	$242.40	$242.40
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $60.60 / $60.60 / $60.60	Facility	53	$60.60	$60.60	$60.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $167.81 / $719.92	Professional		$76.23	$167.81	$719.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $92.90 / $163.93	Facility		$71.45	$92.90	$163.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $158.75 / $247.19	Professional		$100.94	$158.75	$247.19
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $59.52 / $97.60 / $132.22	Professional	52	$59.52	$97.60	$132.22
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $28.23 / $47.79 / $66.11	Professional	53	$28.23	$47.79	$66.11
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 $88.50 / $171.99 / $320.24	Professional		$88.50	$171.99	$320.24
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $168.26 / $6,679.00	Facility		$73.09	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $119.91 / $184.76	Professional		$62.27	$119.91	$184.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $170.91 / $273.72	Professional		$79.34	$170.91	$273.72
Health New England Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $462.51 / $638.47	Facility		$263.52	$462.51	$638.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $178.55 / $331.87	Professional		$96.76	$178.55	$331.87
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 Facility Modifier 52 Low / Median / High Price $242.40 / $242.40 / $242.40	Facility	52	$242.40	$242.40	$242.40
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $60.60 / $60.60 / $60.60	Facility	53	$60.60	$60.60	$60.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $247.68 / $719.92	Professional		$131.02	$247.68	$719.92
Tufts Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $243.68 / $357.65	Facility		$50.91	$243.68	$357.65
Tufts Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $85.68 / $170.51	Professional		$85.68	$85.68	$170.51
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 $121.27 / $170.88 / $317.67	Professional		$121.27	$170.88	$317.67