Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.25 / $2,747.00 / $5,039.00	Facility		$500.25	$2,747.00	$5,039.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,066.82 / $4,066.82 / $4,066.82	Facility	50	$4,066.82	$4,066.82	$4,066.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.41 / $567.74 / $1,114.13	Professional		$426.41	$567.74	$1,114.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $780.44 / $3,630.00	Professional	50	$78.04	$780.44	$3,630.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,028.17 / $2,946.96 / $9,039.00	Facility		$1,028.17	$2,946.96	$9,039.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $416.79 / $717.47 / $1,953.25	Professional		$416.79	$717.47	$1,953.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.49 / $665.21 / $1,175.65	Facility		$512.49	$665.21	$1,175.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.96 / $919.87 / $1,345.62	Professional		$647.96	$919.87	$1,345.62
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 $449.28 / $844.85 / $1,574.25	Professional		$449.28	$844.85	$1,574.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $430.21 / $934.46 / $6,679.00	Facility		$430.21	$934.46	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $596.36 / $753.21 / $1,039.72	Professional		$596.36	$753.21	$1,039.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $526.75 / $1,102.28 / $1,747.40	Professional		$526.75	$1,102.28	$1,747.40
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,583.45 / $4,583.45 / $4,583.45	Facility		$4,583.45	$4,583.45	$4,583.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $913.96 / $1,151.21 / $1,183.41	Professional		$913.96	$1,151.21	$1,183.41
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 $523.40 / $799.10 / $5,606.00	Professional		$523.40	$799.10	$5,606.00
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 $506.21 / $706.43 / $1,537.82	Professional		$506.21	$706.43	$1,537.82