Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $388.01 / $607.27	Professional		$298.20	$388.01	$607.27
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,751.45 / $3,997.00 / $12,000.00	Facility		$1,751.45	$3,997.00	$12,000.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $595.60 / $595.60 / $3,107.91	Facility	62	$595.60	$595.60	$3,107.91
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $95.30 / $95.30 / $497.27	Facility	AS	$95.30	$95.30	$497.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $678.89 / $4,131.06	Professional		$374.00	$678.89	$4,131.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.91 / $733.90 / $991.10	Professional		$530.91	$733.90	$991.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.12 / $598.65 / $988.34	Professional		$406.12	$598.65	$988.34
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $375.21 / $813.48 / $6,679.00	Facility		$375.21	$813.48	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $430.55 / $521.54 / $715.86	Professional		$430.55	$521.54	$715.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $466.94 / $925.66 / $1,467.16	Professional		$466.94	$925.66	$1,467.16
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,751.45 / $3,997.00 / $12,000.00	Facility		$1,751.45	$3,997.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $595.60 / $595.60 / $3,107.91	Facility	62	$595.60	$595.60	$3,107.91
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $95.30 / $95.30 / $497.27	Facility	AS	$95.30	$95.30	$497.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $671.08 / $4,131.06	Professional		$373.53	$671.08	$4,131.06
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 $348.28 / $562.63 / $1,098.93	Professional		$348.28	$562.63	$1,098.93