Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.16 / $2,747.00 / $5,039.00	Facility		$741.16	$2,747.00	$5,039.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,786.00 / $3,786.00 / $5,012.47	Facility	50	$3,786.00	$3,786.00	$5,012.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.32 / $776.46 / $1,447.34	Professional		$597.32	$776.46	$1,447.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,070.82 / $3,289.05 / $5,463.86	Professional	50	$1,070.82	$3,289.05	$5,463.86
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,950.84 / $9,039.00	Facility		$1,313.00	$3,950.84	$9,039.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $566.44 / $992.88 / $2,786.86	Professional		$566.44	$992.88	$2,786.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.77 / $909.60 / $1,607.57	Facility		$700.77	$909.60	$1,607.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.42 / $1,257.74 / $1,757.32	Professional		$880.42	$1,257.74	$1,757.32
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 $608.29 / $1,179.44 / $2,200.96	Professional		$608.29	$1,179.44	$2,200.96
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $1,277.78 / $6,679.00	Facility		$590.46	$1,277.78	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $812.87 / $1,023.40 / $1,412.70	Professional		$812.87	$1,023.40	$1,412.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $724.99 / $1,517.11 / $2,387.55	Professional		$724.99	$1,517.11	$2,387.55
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,701.33 / $4,835.54 / $6,471.38	Facility		$4,701.33	$4,835.54	$6,471.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,157.64 / $1,425.73 / $4,640.14	Professional		$1,157.64	$1,425.73	$4,640.14
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $4,054.44 / $26,542.00	Facility		$1,685.00	$4,054.44	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $726.77 / $1,110.60 / $7,208.00	Professional		$726.77	$1,110.60	$7,208.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,715.00 / $8,766.00	Facility		$1,685.00	$3,715.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $722.55 / $1,020.74 / $2,208.48	Professional		$722.55	$1,020.74	$2,208.48