Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.63 / $2,747.00 / $5,048.00	Facility		$643.63	$2,747.00	$5,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.24 / $643.63 / $1,195.94	Professional		$459.24	$643.63	$1,195.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $965.45 / $965.45 / $4,007.74	Professional	50	$965.45	$965.45	$4,007.74
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $3,117.18 / $9,039.00	Facility		$1,061.00	$3,117.18	$9,039.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $501.71 / $885.07 / $4,165.00	Professional		$501.71	$885.07	$4,165.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.02 / $702.03 / $1,238.81	Facility		$540.02	$702.03	$1,238.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.11 / $1,077.88 / $1,610.94	Professional		$757.11	$1,077.88	$1,610.94
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,974.44 / $1,974.44 / $2,224.34	Professional	50	$1,974.44	$1,974.44	$2,224.34
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 $494.59 / $970.94 / $1,725.60	Professional		$494.59	$970.94	$1,725.60
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $454.36 / $984.66 / $6,679.00	Facility		$454.36	$984.66	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $712.55 / $901.71 / $1,244.71	Professional		$712.55	$901.71	$1,244.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $557.47 / $1,209.15 / $2,052.30	Professional		$557.47	$1,209.15	$2,052.30
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,701.33 / $4,701.33 / $4,701.33	Facility		$4,701.33	$4,701.33	$4,701.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,102.08 / $1,102.08 / $1,102.08	Professional		$1,102.08	$1,102.08	$1,102.08
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 $665.90 / $1,013.62 / $4,634.47	Professional		$665.90	$1,013.62	$4,634.47
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 $636.77 / $868.63 / $1,882.58	Professional		$636.77	$868.63	$1,882.58