Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $2,067.00 / $3,625.00	Facility		$119.60	$2,067.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $140.05 / $206.43	Professional		$108.07	$140.05	$206.43
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $217.23 / $1,078.00 / $4,870.64	Facility		$217.23	$1,078.00	$4,870.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $181.67 / $648.40	Professional		$90.48	$181.67	$648.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $133.55 / $235.66	Facility		$102.73	$133.55	$235.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $205.05 / $315.01	Professional		$147.83	$205.05	$315.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $678.56 / $678.56 / $2,088.23	Professional	50	$678.56	$678.56	$2,088.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,593.42 / $1,593.42 / $1,593.42	Facility		$1,593.42	$1,593.42	$1,593.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $191.77 / $333.19	Professional		$113.77	$191.77	$333.19
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $300.00 / $6,679.00	Facility		$89.41	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $164.83 / $227.53	Professional		$131.75	$164.83	$227.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $231.89 / $382.41	Professional		$108.54	$231.89	$382.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $168.54 / $191.28	Professional		$163.68	$168.54	$191.28
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $1,818.00 / $12,000.00	Facility		$502.00	$1,818.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $225.33 / $978.75	Professional		$130.02	$225.33	$978.75
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,790.00 / $2,733.00	Facility		$500.00	$1,790.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $186.41 / $341.23	Professional		$124.70	$186.41	$341.23