Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.33 / $2,079.00 / $3,625.00	Facility		$122.33	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,582.67 / $1,582.67 / $1,582.67	Facility	52	$1,582.67	$1,582.67	$1,582.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $122.33 / $279.82	Professional		$95.95	$122.33	$279.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $190.98 / $574.99 / $2,713.00	Facility		$190.98	$574.99	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $459.99 / $459.99 / $459.99	Facility	52	$459.99	$459.99	$459.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $225.41 / $795.04	Professional		$110.33	$225.41	$795.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.81 / $174.52 / $311.55	Facility		$135.81	$174.52	$311.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $230.27 / $355.48	Professional		$195.43	$230.27	$355.48
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $115.13 / $115.13 / $177.74	Professional	52	$115.13	$115.13	$177.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $209.56 / $341.10	Professional		$129.44	$209.56	$341.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $214.32 / $6,679.00	Facility		$115.17	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $185.46 / $256.77	Professional		$152.01	$185.46	$256.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $291.91 / $412.39	Professional		$140.49	$291.91	$412.39
Health New England Facility/Professional Facility Modifier Low / Median / High Price $771.21 / $771.21 / $4,064.37	Facility		$771.21	$771.21	$4,064.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $179.73 / $179.73 / $179.73	Professional		$179.73	$179.73	$179.73
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $459.99 / $459.99 / $459.99	Facility	52	$459.99	$459.99	$459.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $238.04 / $931.04	Professional		$131.33	$238.04	$931.04
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $179.48 / $372.24	Professional		$125.23	$179.48	$372.24