Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,388.44 / $5,370.32	Facility		$741.31	$3,388.44	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,801.89 / $3,801.89 / $5,011.87	Facility	50	$3,801.89	$3,801.89	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,995.26	Professional		$575.44	$831.76	$1,995.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $2,041.74 / $4,466.84	Professional	50	$741.31	$2,041.74	$4,466.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,981.07 / $11,220.18	Facility		$1,318.26	$3,981.07	$11,220.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $2,344.23	Professional		$562.34	$912.01	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,584.89	Facility		$707.95	$707.95	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,621.81	Professional		$707.95	$1,202.26	$1,621.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,288.25 / $1,995.26 / $1,995.26	Professional	50	$1,288.25	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $2,238.72	Professional		$602.56	$1,174.90	$2,238.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,122.02 / $7,079.46	Facility		$524.81	$1,122.02	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,479.11	Professional		$851.14	$1,071.52	$1,479.11
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $9,772.37	Facility		$1,698.24	$3,981.07	$9,772.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,995.26	Professional		$616.60	$977.24	$1,995.26
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,456.54	Facility		$4,677.35	$4,677.35	$6,456.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,041.74	Professional		$1,148.15	$1,412.54	$2,041.74
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $11,220.18	Facility		$1,412.54	$3,981.07	$11,220.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $2,290.87	Professional		$562.34	$912.01	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $9,120.11	Facility		$1,698.24	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,995.26	Professional		$616.60	$954.99	$1,995.26