Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.32 / $2,747.00 / $4,806.64	Facility		$123.32	$2,747.00	$4,806.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $514.04 / $514.04 / $4,115.88	Facility	50	$514.04	$514.04	$4,115.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $146.43 / $230.27	Professional		$114.92	$146.43	$230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $915.00 / $915.00 / $915.00	Professional	50	$915.00	$915.00	$915.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $274.98 / $716.81 / $2,713.00	Facility		$274.98	$716.81	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $184.86 / $888.56	Professional		$103.64	$184.86	$888.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $189.87 / $335.57	Facility		$146.28	$189.87	$335.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $256.70 / $350.61	Professional		$190.60	$256.70	$350.61
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 $104.41 / $104.41 / $104.41	Facility		$104.41	$104.41	$104.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $241.94 / $421.55	Professional		$121.91	$241.94	$421.55
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $214.32 / $6,679.00	Facility		$125.00	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $187.32 / $258.58	Professional		$148.69	$187.32	$258.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $307.47 / $443.81	Professional		$149.91	$307.47	$443.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $222.41 / $222.41 / $222.41	Professional		$222.41	$222.41	$222.41
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 $133.96 / $208.87 / $1,597.12	Professional		$133.96	$208.87	$1,597.12
United Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $1,790.00 / $2,796.00	Facility		$502.00	$1,790.00	$2,796.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $176.35 / $380.92	Professional		$133.04	$176.35	$380.92