Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.82 / $2,079.00 / $3,625.00	Facility		$614.82	$2,079.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $516.26 / $670.34	Professional		$318.33	$516.26	$670.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $620.42 / $4,287.00 / $10,138.40	Facility		$620.42	$4,287.00	$10,138.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $560.76 / $3,160.00	Professional		$223.68	$560.76	$3,160.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.81 / $387.86 / $685.47	Facility		$298.81	$387.86	$685.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $534.57 / $727.24	Professional		$377.40	$534.57	$727.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $211.80 / $211.80	Facility		$211.80	$211.80	$211.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.69 / $551.51 / $957.43	Professional		$379.69	$551.51	$957.43
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $257.11 / $544.84 / $6,679.00	Facility		$257.11	$544.84	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $324.43 / $407.07 / $561.91	Professional		$324.43	$407.07	$561.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $638.12 / $954.81	Professional		$309.66	$638.12	$954.81
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,450.11 / $6,450.11 / $6,450.11	Facility		$6,450.11	$6,450.11	$6,450.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,977.95 / $1,977.95 / $1,977.95	Professional		$1,977.95	$1,977.95	$1,977.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,020.97 / $4,983.00 / $12,000.00	Facility		$2,020.97	$4,983.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $360.64 / $741.67 / $3,643.79	Professional		$360.64	$741.67	$3,643.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,402.00 / $8,810.00	Facility		$2,155.00	$4,402.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.87 / $563.76 / $893.49	Professional		$319.87	$563.76	$893.49