Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.49 / $2,079.00 / $3,625.00	Facility		$240.49	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,723.54 / $1,723.54 / $2,336.51	Facility	50	$1,723.54	$1,723.54	$2,336.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $195.49 / $348.47	Professional		$78.70	$195.49	$348.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $1,390.18 / $1,390.18	Professional	50	$220.42	$1,390.18	$1,390.18
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $131.36 / $1,339.09 / $3,472.00	Facility		$131.36	$1,339.09	$3,472.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $313.32 / $787.99	Professional		$90.15	$313.32	$787.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $121.62 / $241.45	Facility		$94.50	$121.62	$241.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $347.86 / $703.75	Professional		$128.24	$347.86	$703.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $217.10 / $540.04	Professional		$105.80	$217.10	$540.04
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $172.32 / $6,679.00	Facility		$83.43	$172.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $318.05 / $441.94	Professional		$260.69	$318.05	$441.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $275.25 / $661.43	Professional		$110.84	$275.25	$661.43
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,788.74 / $1,788.74 / $1,788.74	Facility		$1,788.74	$1,788.74	$1,788.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $202.35 / $202.35 / $202.35	Professional		$202.35	$202.35	$202.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,600.00 / $7,161.00	Facility		$55.00	$1,600.00	$7,161.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $414.95 / $1,886.00	Professional		$240.21	$414.95	$1,886.00
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 $223.18 / $347.12 / $655.93	Professional		$223.18	$347.12	$655.93