Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.55 / $1,886.00 / $3,363.00	Facility		$940.55	$1,886.00	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,727.32 / $6,478.42 / $6,848.58	Facility	50	$2,727.32	$6,478.42	$6,848.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $997.55 / $1,459.21	Professional		$413.51	$997.55	$1,459.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,905.68 / $4,905.68 / $4,905.68	Professional	50	$4,905.68	$4,905.68	$4,905.68
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,106.00 / $3,472.00	Facility		$540.00	$1,106.00	$3,472.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $666.82 / $4,000.04	Professional		$260.11	$666.82	$4,000.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.32 / $459.91 / $812.81	Facility		$354.32	$459.91	$812.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.40 / $633.88 / $851.08	Professional		$451.40	$633.88	$851.08
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $540.46 / $540.46 / $902.60	Professional	50	$540.46	$540.46	$902.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.24 / $226.24 / $226.24	Facility		$226.24	$226.24	$226.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.06 / $713.66 / $1,397.26	Professional		$433.06	$713.66	$1,397.26
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $646.05 / $6,679.00	Facility		$300.00	$646.05	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $371.67 / $464.69 / $641.45	Professional		$371.67	$464.69	$641.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $368.64 / $758.18 / $1,060.36	Professional		$368.64	$758.18	$1,060.36
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,465.86 / $1,465.86 / $2,941.55	Facility		$1,465.86	$1,465.86	$2,941.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $468.84 / $543.21 / $2,342.60	Professional		$468.84	$543.21	$2,342.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,078.00 / $7,161.00	Facility		$55.00	$2,078.00	$7,161.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $418.06 / $1,183.76 / $5,324.36	Professional		$418.06	$1,183.76	$5,324.36
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 $370.80 / $734.90 / $1,358.89	Professional		$370.80	$734.90	$1,358.89