Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.16 / $2,288.98 / $4,088.00	Facility		$318.16	$2,288.98	$4,088.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.24 / $38.24 / $63.63	Facility	53	$38.24	$38.24	$63.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $344.53 / $1,013.08	Professional		$191.22	$344.53	$1,013.08
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $364.40 / $3,764.00 / $12,000.00	Facility		$364.40	$3,764.00	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $148.02 / $148.02 / $148.02	Facility	53	$148.02	$148.02	$148.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $193.24 / $475.06 / $2,426.80	Professional		$193.24	$475.06	$2,426.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $226.80 / $444.87	Facility		$174.46	$226.80	$444.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $286.08 / $822.91	Professional		$103.89	$286.08	$822.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $493.84 / $1,038.66	Professional		$213.12	$493.84	$1,038.66
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $152.02 / $318.10 / $6,679.00	Facility		$152.02	$318.10	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $215.68 / $391.56 / $614.09	Professional		$215.68	$391.56	$614.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.87 / $416.56 / $924.80	Professional		$191.87	$416.56	$924.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,072.83 / $1,813.34 / $4,323.85	Facility		$1,072.83	$1,813.34	$4,323.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $162.53 / $237.37 / $343.00	Professional		$162.53	$237.37	$343.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $861.10 / $4,249.00 / $12,000.00	Facility		$861.10	$4,249.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $148.02 / $148.02 / $148.02	Facility	53	$148.02	$148.02	$148.02
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $830.49 / $2,426.80	Professional		$322.00	$830.49	$2,426.80
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 $283.66 / $526.23 / $1,037.48	Professional		$283.66	$526.23	$1,037.48