Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.94 / $2,747.00 / $5,039.00	Facility		$647.94	$2,747.00	$5,039.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $859.91 / $859.91 / $3,918.00	Facility	50	$859.91	$859.91	$3,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.92 / $651.16 / $1,093.08	Professional		$507.92	$651.16	$1,093.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $406.75 / $1,232.98 / $4,635.81	Professional	50	$406.75	$1,232.98	$4,635.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,129.88 / $3,445.08 / $9,039.00	Facility		$1,129.88	$3,445.08	$9,039.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $497.98 / $913.58 / $3,659.44	Professional		$497.98	$913.58	$3,659.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.09 / $773.62 / $1,365.14	Facility		$595.09	$773.62	$1,365.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.40 / $1,068.13 / $1,429.41	Professional		$775.40	$1,068.13	$1,429.41
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,283.76 / $1,283.76 / $1,974.44	Professional	50	$1,283.76	$1,283.76	$1,974.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.32 / $1,346.32 / $1,346.32	Facility		$1,346.32	$1,346.32	$1,346.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.24 / $1,014.28 / $1,868.82	Professional		$531.24	$1,014.28	$1,868.82
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $501.58 / $1,085.09 / $6,679.00	Facility		$501.58	$1,085.09	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $716.94 / $903.53 / $1,247.22	Professional		$716.94	$903.53	$1,247.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $616.45 / $1,293.31 / $2,071.60	Professional		$616.45	$1,293.31	$2,071.60
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,341.72 / $4,341.72 / $4,501.85	Facility		$4,341.72	$4,341.72	$4,501.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $403.51 / $403.51 / $533.74	Professional		$403.51	$403.51	$533.74
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $535.12 / $535.12 / $535.12	Professional	50	$535.12	$535.12	$535.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,764.00 / $26,542.00	Facility		$1,685.00	$3,764.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $671.16 / $1,003.70 / $4,682.96	Professional		$671.16	$1,003.70	$4,682.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,764.00 / $8,766.00	Facility		$1,685.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.99 / $893.39 / $1,946.00	Professional		$653.99	$893.39	$1,946.00