Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $2,079.00 / $3,625.00	Facility		$171.00	$2,079.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $171.00 / $291.07	Professional		$110.74	$171.00	$291.07
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $2,376.00 / $8,498.00	Facility		$278.89	$2,376.00	$8,498.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $243.07 / $807.04	Professional		$124.57	$243.07	$807.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.77 / $172.60 / $304.57	Facility		$132.77	$172.60	$304.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $275.72 / $466.27	Professional		$186.14	$275.72	$466.27
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 $131.01 / $259.14 / $475.85	Professional		$131.01	$259.14	$475.85
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $300.00 / $6,679.00	Facility		$113.45	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $247.98 / $343.89	Professional		$195.73	$247.98	$343.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $298.88 / $561.28	Professional		$135.99	$298.88	$561.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $259.08 / $259.08	Professional		$259.08	$259.08	$259.08
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $3,372.00 / $12,000.00	Facility		$760.98	$3,372.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $180.69 / $279.67 / $1,265.11	Professional		$180.69	$279.67	$1,265.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,372.00 / $8,425.00	Facility		$1,245.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $238.30 / $541.29	Professional		$170.40	$238.30	$541.29