Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $1,473.20 / $3,363.00	Facility		$101.47	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $437.54 / $890.44 / $1,986.00	Facility	50	$437.54	$890.44	$1,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $135.47 / $479.33	Professional		$97.10	$135.47	$479.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.09 / $265.01 / $764.66	Professional	50	$164.09	$265.01	$764.66
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $648.88 / $2,713.00	Facility		$101.89	$648.88	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $176.72 / $1,169.94	Professional		$85.67	$176.72	$1,169.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $139.09 / $245.83	Facility		$107.16	$139.09	$245.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $199.53 / $278.08	Professional		$150.24	$199.53	$278.08
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $303.23 / $303.23 / $314.12	Professional	50	$303.23	$303.23	$314.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $76.83 / $76.83	Facility		$76.83	$76.83	$76.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $197.52 / $343.71	Professional		$105.02	$197.52	$343.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $92.78 / $195.38 / $6,679.00	Facility		$92.78	$195.38	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $155.66 / $214.88	Professional		$124.40	$155.66	$214.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $234.85 / $366.91	Professional		$112.23	$234.85	$366.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $498.24 / $786.09 / $847.79	Facility		$498.24	$786.09	$847.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $264.00 / $750.00	Professional		$176.59	$264.00	$750.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,169.94 / $3,445.00	Facility		$55.00	$1,169.94	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $283.93 / $3,253.02	Professional		$121.09	$283.93	$3,253.02
Tufts Facility/Professional Facility Modifier Low / Median / High Price $393.90 / $542.79 / $1,066.33	Facility		$393.90	$542.79	$1,066.33
Tufts Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $118.26 / $217.28	Professional		$89.95	$118.26	$217.28
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 $114.19 / $223.85 / $523.29	Professional		$114.19	$223.85	$523.29