Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $1,854.00 / $4,882.50	Facility		$743.00	$1,854.00	$4,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $696.56 / $1,538.35	Professional		$516.04	$696.56	$1,538.35
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $3,630.26 / $9,039.00	Facility		$1,061.00	$3,630.26	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $156.88 / $156.88 / $497.27	Facility	AS	$156.88	$156.88	$497.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $562.30 / $1,021.74 / $5,838.31	Professional		$562.30	$1,021.74	$5,838.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.42 / $1,207.92 / $1,597.62	Professional		$927.42	$1,207.92	$1,597.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $1,003.49 / $1,639.51	Professional		$609.29	$1,003.49	$1,639.51
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $615.50 / $1,338.92 / $6,679.00	Facility		$615.50	$1,338.92	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $706.29 / $855.55 / $1,178.25	Professional		$706.29	$855.55	$1,178.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $761.86 / $1,510.31 / $2,390.30	Professional		$761.86	$1,510.31	$2,390.30
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,787.20 / $3,113.19 / $4,320.31	Facility		$1,787.20	$3,113.19	$4,320.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $920.04 / $1,271.83 / $1,853.89	Professional		$920.04	$1,271.83	$1,853.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,997.00 / $16,394.00	Facility		$1,902.00	$3,997.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $156.88 / $156.88 / $497.27	Facility	AS	$156.88	$156.88	$497.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $595.24 / $1,070.94 / $5,838.31	Professional		$595.24	$1,070.94	$5,838.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.24 / $878.67 / $1,763.95	Professional		$595.24	$878.67	$1,763.95