Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $2,079.00 / $3,625.00	Facility		$96.30	$2,079.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $95.15 / $148.66	Professional		$63.87	$95.15	$148.66
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $623.42 / $2,713.00	Facility		$104.77	$623.42	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $86.55 / $383.56	Professional		$38.85	$86.55	$383.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $70.56 / $124.72	Facility		$54.37	$70.56	$124.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $97.27 / $130.60	Professional		$68.67	$97.27	$130.60
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $303.23 / $303.23 / $308.82	Professional	50	$303.23	$303.23	$308.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $30.56 / $30.56	Facility		$30.56	$30.56	$30.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $97.12 / $212.58	Professional		$64.50	$97.12	$212.58
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $168.26 / $6,679.00	Facility		$54.99	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $69.62 / $96.10	Professional		$55.99	$69.62	$96.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $116.74 / $168.50	Professional		$56.93	$116.74	$168.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $82.21 / $103.42	Professional		$30.11	$82.21	$103.42
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $115.25 / $425.33	Professional		$63.82	$115.25	$425.33
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 $62.22 / $84.20 / $166.86	Professional		$62.22	$84.20	$166.86