Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $1,473.20 / $3,363.00	Facility		$136.63	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $675.45 / $675.45 / $675.45	Facility	50	$675.45	$675.45	$675.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $110.59 / $211.01	Professional		$57.59	$110.59	$211.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.80 / $166.47 / $927.00	Professional	50	$144.80	$166.47	$927.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $536.38 / $2,713.00	Facility		$83.66	$536.38	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $167.65 / $1,030.00	Professional		$65.31	$167.65	$1,030.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $77.47 / $153.74	Facility		$60.29	$77.47	$153.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $155.79 / $297.51	Professional		$71.81	$155.79	$297.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $143.88 / $298.48	Professional		$71.40	$143.88	$298.48
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $211.68 / $6,679.00	Facility		$60.70	$211.68	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $157.91 / $219.40	Professional		$129.43	$157.91	$219.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $144.94 / $331.71	Professional		$69.02	$144.94	$331.71
Health New England Facility/Professional Facility Modifier Low / Median / High Price $183.78 / $371.73 / $626.44	Facility		$183.78	$371.73	$626.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $176.57 / $212.20	Professional		$62.46	$176.57	$212.20
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $248.03 / $1,030.00	Professional		$125.48	$248.03	$1,030.00
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $3,445.00	Facility		$627.00	$1,818.00	$3,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $176.26 / $350.35	Professional		$117.59	$176.26	$350.35