Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.81 / $1,319.00 / $3,363.00	Facility		$107.81	$1,319.00	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $157.26 / $929.35 / $1,686.75	Facility	50	$157.26	$929.35	$1,686.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $104.72 / $225.55	Professional		$64.73	$104.72	$225.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.93 / $344.60 / $621.58	Professional	50	$16.93	$344.60	$621.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $121.08 / $627.00 / $3,445.00	Facility		$121.08	$627.00	$3,445.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $130.87 / $1,157.00	Professional		$56.34	$130.87	$1,157.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $77.09 / $137.62	Facility		$59.99	$77.09	$137.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $113.22 / $194.28	Professional		$76.55	$113.22	$194.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $119.19 / $208.12	Professional		$71.81	$119.19	$208.12
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $250.30 / $6,679.00	Facility		$61.09	$250.30	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $103.81 / $142.60	Professional		$85.70	$103.81	$142.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $143.13 / $231.58	Professional		$68.39	$143.13	$231.58
Health New England Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $497.97 / $981.89	Facility		$296.08	$497.97	$981.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $160.61 / $240.92	Professional		$84.89	$160.61	$240.92
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $1,818.00 / $15,000.00	Facility		$252.70	$1,818.00	$15,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $165.82 / $1,157.00	Professional		$87.20	$165.82	$1,157.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $79.22 / $192.81 / $296.75	Facility		$79.22	$192.81	$296.75
Tufts Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $50.03 / $101.98	Professional		$50.03	$50.03	$101.98
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 $82.07 / $141.11 / $249.24	Professional		$82.07	$141.11	$249.24