Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.21 / $42.21 / $42.21	Facility	52	$42.21	$42.21	$42.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $84.42 / $134.26	Professional		$60.06	$84.42	$134.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $101.01 / $1,483.60 / $3,472.00	Facility		$101.01	$1,483.60	$3,472.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $157.69 / $2,055.60	Facility	52	$157.69	$157.69	$2,055.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $142.66 / $1,398.72	Professional		$66.84	$142.66	$1,398.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $126.68 / $225.15	Professional		$78.93	$126.68	$225.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $284.32 / $6,679.00	Facility		$75.84	$284.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $87.84 / $118.92	Professional		$73.14	$87.84	$118.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $158.33 / $245.39	Professional		$79.87	$158.33	$245.39
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,878.00 / $7,161.00	Facility		$55.00	$1,878.00	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $157.69 / $2,055.60	Facility	52	$157.69	$157.69	$2,055.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $163.33 / $1,398.72	Professional		$75.93	$163.33	$1,398.72
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 $74.29 / $142.91 / $270.85	Professional		$74.29	$142.91	$270.85