Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.62 / $1,411.87 / $2,747.00	Facility		$239.62	$1,411.87	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $599.04 / $1,622.08 / $2,573.69	Facility	50	$599.04	$1,622.08	$2,573.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.69 / $23.69 / $47.65	Facility	53	$23.69	$23.69	$47.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $238.23 / $598.52	Professional		$108.71	$238.23	$598.52
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.52 / $141.52 / $191.19	Professional	22	$141.52	$141.52	$191.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.66 / $460.23 / $1,402.63	Professional	50	$177.66	$460.23	$1,402.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.33 / $42.71 / $71.39	Professional	53	$21.33	$42.71	$71.39
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $1,483.60 / $7,161.00	Facility		$258.60	$1,483.60	$7,161.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $110.83 / $110.83 / $110.83	Facility	53	$110.83	$110.83	$110.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $393.90 / $1,763.17	Professional		$122.00	$393.90	$1,763.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.25 / $166.09 / $329.59	Facility		$129.25	$166.09	$329.59
BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $32.31 / $41.52 / $82.39	Facility	53	$32.31	$41.52	$82.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $281.20 / $534.61	Professional		$57.99	$281.20	$534.61
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $74.45 / $122.49 / $413.92	Professional	53	$74.45	$122.49	$413.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $297.82 / $635.49	Professional		$143.00	$297.82	$635.49
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $112.41 / $300.00 / $6,679.00	Facility		$112.41	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $345.04 / $477.93	Professional		$282.81	$345.04	$477.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $313.45 / $718.52	Professional		$149.50	$313.45	$718.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,061.39 / $1,592.09 / $2,836.55	Facility		$1,061.39	$1,592.09	$2,836.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $355.80 / $516.67	Professional		$178.38	$355.80	$516.67
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $554.14 / $2,078.00 / $32,000.00	Facility		$554.14	$2,078.00	$32,000.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $110.83 / $110.83 / $110.83	Facility	53	$110.83	$110.83	$110.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $604.51 / $4,050.50	Professional		$291.45	$604.51	$4,050.50
Tufts Facility/Professional Facility Modifier Low / Median / High Price $81.99 / $146.47 / $584.58	Facility		$81.99	$146.47	$584.58
Tufts Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $261.20 / $468.71	Professional		$261.20	$261.20	$468.71
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 $277.44 / $457.78 / $822.25	Professional		$277.44	$457.78	$822.25