Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $1,473.20 / $3,363.00	Facility		$178.49	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $373.45 / $579.52 / $1,986.00	Facility	50	$373.45	$579.52	$1,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $158.06 / $383.95	Professional		$121.02	$158.06	$383.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $537.55 / $746.00 / $2,089.71	Professional	50	$537.55	$746.00	$2,089.71
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $199.71 / $605.05 / $2,713.00	Facility		$199.71	$605.05	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $262.58 / $1,721.89	Professional		$128.55	$262.58	$1,721.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.02 / $182.50 / $325.79	Facility		$142.02	$182.50	$325.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $253.02 / $535.54	Professional		$161.80	$253.02	$535.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $231.30 / $360.46	Professional		$147.19	$231.30	$360.46
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $214.32 / $6,679.00	Facility		$121.44	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $192.23 / $265.36	Professional		$158.27	$192.23	$265.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $303.87 / $427.84	Professional		$147.46	$303.87	$427.84
Health New England Facility/Professional Facility Modifier Low / Median / High Price $343.73 / $527.22 / $788.31	Facility		$343.73	$527.22	$788.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $374.44 / $438.03	Professional		$160.34	$374.44	$438.03
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 Professional Modifier Low / Median / High Price $165.04 / $297.93 / $1,721.89	Professional		$165.04	$297.93	$1,721.89
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 $154.22 / $246.79 / $401.36	Professional		$154.22	$246.79	$401.36