Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,676.48 / $3,363.00	Facility		$659.00	$1,676.48	$3,363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $208.37 / $363.36	Professional		$81.18	$208.37	$363.36
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $1,339.09 / $3,804.00	Facility		$93.47	$1,339.09	$3,804.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $329.08 / $329.08 / $329.08	Facility	52	$329.08	$329.08	$329.08
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $82.27 / $82.27 / $82.27	Facility	53	$82.27	$82.27	$82.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $355.50 / $974.54	Professional		$99.89	$355.50	$974.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $123.25 / $245.82	Facility		$100.15	$123.25	$245.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $295.70 / $555.23	Professional		$122.76	$295.70	$555.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $252.62 / $621.50	Professional		$120.13	$252.62	$621.50
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $175.44 / $6,679.00	Facility		$84.65	$175.44	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $253.94 / $320.89 / $558.19	Professional		$253.94	$320.89	$558.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $268.70 / $669.22	Professional		$119.17	$268.70	$669.22
Health New England Facility/Professional Facility Modifier Low / Median / High Price $230.18 / $1,214.84 / $1,540.06	Facility		$230.18	$1,214.84	$1,540.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $256.83 / $439.18	Professional		$106.47	$256.83	$439.18
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,600.00 / $4,142.00	Facility		$55.00	$1,600.00	$4,142.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $329.08 / $329.08 / $329.08	Facility	52	$329.08	$329.08	$329.08
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $82.27 / $82.27 / $82.27	Facility	53	$82.27	$82.27	$82.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $525.29 / $1,582.00	Professional		$302.56	$525.29	$1,582.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,078.00 / $5,683.00	Facility		$1,106.00	$2,078.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.89 / $398.63 / $772.88	Professional		$268.89	$398.63	$772.88