Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.81 / $1,473.20 / $3,363.00	Facility		$317.81	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $641.19 / $838.32 / $2,316.48	Facility	50	$641.19	$838.32	$2,316.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $133.53 / $372.01	Professional		$103.27	$133.53	$372.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.83 / $728.70 / $1,874.34	Professional	50	$300.83	$728.70	$1,874.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $536.38 / $2,713.00	Facility		$178.12	$536.38	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $227.21 / $766.56	Professional		$104.46	$227.21	$766.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $163.72 / $292.30	Facility		$127.42	$163.72	$292.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $228.69 / $418.90	Professional		$139.35	$228.69	$418.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $217.62 / $357.32	Professional		$135.16	$217.62	$357.32
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $109.80 / $214.32 / $6,679.00	Facility		$109.80	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $190.65 / $263.05	Professional		$157.38	$190.65	$263.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.81 / $292.95 / $431.97	Professional		$139.81	$292.95	$431.97
Health New England Facility/Professional Facility Modifier Low / Median / High Price $411.76 / $728.27 / $1,289.80	Facility		$411.76	$728.27	$1,289.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $335.74 / $466.50	Professional		$119.44	$335.74	$466.50
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $179.16 / $179.16 / $179.16	Professional	50	$179.16	$179.16	$179.16
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 $145.33 / $260.27 / $971.76	Professional		$145.33	$260.27	$971.76
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 $137.86 / $215.96 / $449.80	Professional		$137.86	$215.96	$449.80