Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,445.44 / $3,090.30	Facility		$239.88	$1,445.44	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $1,819.70 / $2,570.40	Facility	50	$602.56	$1,819.70	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $812.83	Professional		$107.15	$251.19	$812.83
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $141.25 / $190.55	Professional	22	$141.25	$141.25	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $446.68 / $1,412.54	Professional	50	$169.82	$446.68	$1,412.54
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $138.04 / $138.04 / $186.21	Professional	53	$138.04	$138.04	$186.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,862.09 / $32,359.37	Facility		$257.04	$1,862.09	$32,359.37
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	53	$537.03	$537.03	$537.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $776.25	Professional		$117.49	$281.84	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $302.00	Facility		$128.82	$128.82	$302.00
BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $32.36 / $32.36 / $74.13	Facility	53	$32.36	$32.36	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $295.12 / $676.08	Professional		$128.82	$295.12	$676.08
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $41.69 / $95.50 / $169.82	Professional	53	$41.69	$95.50	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $616.60	Professional		$134.90	$269.15	$616.60
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $7,079.46	Facility		$100.00	$213.80	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $524.81	Professional		$309.03	$380.19	$524.81
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,511.89 / $7,079.46	Facility		$1,096.48	$2,511.89	$7,079.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $691.83	Professional		$120.23	$281.84	$691.83
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,818.38	Facility		$1,047.13	$1,737.80	$2,818.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $389.05	Professional		$239.88	$371.54	$389.05
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,862.09 / $32,359.37	Facility		$257.04	$1,862.09	$32,359.37
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	53	$537.03	$537.03	$537.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $776.25	Professional		$117.49	$281.84	$776.25
Tufts Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $398.11 / $831.76	Facility		$81.28	$398.11	$831.76
Tufts Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $467.74	Professional		$190.55	$263.03	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,454.71 / $6,165.95	Facility		$1,047.13	$2,454.71	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $691.83	Professional		$123.03	$288.40	$691.83