Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,288.25 / $3,630.78	Facility		$77.62	$1,288.25	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $131.83 / $275.42 / $1,258.93	Facility	50	$131.83	$275.42	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $275.42	Professional		$50.12	$91.20	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $363.08 / $501.19	Professional	50	$125.89	$363.08	$501.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $630.96 / $2,818.38	Facility		$56.23	$630.96	$2,818.38
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $257.04	Professional		$54.95	$107.15	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $138.04	Facility		$58.88	$58.88	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $245.47	Professional		$83.18	$134.90	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $223.87	Professional		$64.57	$117.49	$223.87
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $186.21 / $7,079.46	Facility		$54.95	$186.21	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $194.98	Professional		$114.82	$141.25	$194.98
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $251.19	Professional		$54.95	$120.23	$251.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,949.84	Facility		$602.56	$602.56	$1,949.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $630.96 / $2,818.38	Facility		$56.23	$630.96	$2,818.38
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $257.04	Professional		$54.95	$107.15	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $2,818.38	Facility		$630.96	$1,862.09	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $245.47	Professional		$56.23	$114.82	$245.47