Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.81 / $1,319.00 / $3,103.52	Facility		$255.81	$1,319.00	$3,103.52
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.33 / $86.51 / $396.10	Facility	52	$40.33	$86.51	$396.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $164.49 / $390.21	Professional		$69.14	$164.49	$390.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $143.35 / $1,177.70 / $7,161.00	Facility		$143.35	$1,177.70	$7,161.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $243.13 / $243.13 / $243.13	Facility	52	$243.13	$243.13	$243.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $222.11 / $1,179.81	Professional		$74.83	$222.11	$1,179.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $92.84 / $184.24	Facility		$72.25	$92.84	$184.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $159.76 / $366.10	Professional		$50.52	$159.76	$366.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $167.38 / $352.35	Professional		$84.70	$167.38	$352.35
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $239.56 / $6,679.00	Facility		$73.90	$239.56	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $204.65 / $282.88	Professional		$167.74	$204.65	$282.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $183.88 / $431.10	Professional		$86.96	$183.88	$431.10
Health New England Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $1,134.02 / $1,770.07	Facility		$571.54	$1,134.02	$1,770.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $180.25 / $259.83	Professional		$95.46	$180.25	$259.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $426.05 / $2,078.00 / $12,000.00	Facility		$426.05	$2,078.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $243.13 / $243.13 / $243.13	Facility	52	$243.13	$243.13	$243.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $321.45 / $1,179.81	Professional		$166.07	$321.45	$1,179.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,408.00 / $5,683.00	Facility		$1,106.00	$2,408.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $251.08 / $438.95	Professional		$152.99	$251.08	$438.95