Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $2,067.00 / $3,625.00	Facility		$289.02	$2,067.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $293.48 / $466.11	Professional		$210.98	$293.48	$466.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $459.54 / $1,106.00 / $3,472.00	Facility		$459.54	$1,106.00	$3,472.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $403.61 / $1,511.20	Professional		$205.91	$403.61	$1,511.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.16 / $312.20 / $550.92	Facility		$240.16	$312.20	$550.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.93 / $431.06 / $666.68	Professional		$312.93	$431.06	$666.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.79 / $197.79 / $197.79	Facility		$197.79	$197.79	$197.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.62 / $433.91 / $764.42	Professional		$249.62	$433.91	$764.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $208.62 / $437.90 / $6,679.00	Facility		$208.62	$437.90	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $388.26 / $535.96	Professional		$309.81	$388.26	$535.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $544.30 / $889.82	Professional		$252.72	$544.30	$889.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $597.19 / $597.19	Professional		$597.19	$597.19	$597.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,649.69 / $7,161.00	Facility		$55.00	$1,649.69	$7,161.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $484.25 / $2,038.48	Professional		$301.63	$484.25	$2,038.48
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,078.00 / $5,683.00	Facility		$700.00	$2,078.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $402.96 / $817.15	Professional		$280.45	$402.96	$817.15