Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.35 / $2,079.00 / $3,625.00	Facility		$104.35	$2,079.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $113.33 / $176.15	Professional		$93.39	$113.33	$176.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $227.43 / $685.68 / $2,713.00	Facility		$227.43	$685.68	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $170.10 / $725.44	Professional		$80.20	$170.10	$725.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.79 / $156.79 / $277.08	Facility		$120.79	$156.79	$277.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $207.14 / $274.81	Professional		$153.88	$207.14	$274.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $303.23 / $303.23 / $308.82	Professional	50	$303.23	$303.23	$308.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.43 / $87.43 / $87.43	Facility		$87.43	$87.43	$87.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $190.81 / $348.88	Professional		$99.77	$190.81	$348.88
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $214.32 / $6,679.00	Facility		$102.62	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $146.82 / $202.66	Professional		$116.10	$146.82	$202.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $246.65 / $345.81	Professional		$122.47	$246.65	$345.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $163.12 / $246.80	Professional		$73.80	$163.12	$246.80
Health New England Facility/Professional Professional Modifier 50 Low / Median / High Price $113.55 / $113.55 / $113.55	Professional	50	$113.55	$113.55	$113.55
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $195.73 / $1,968.90	Professional		$110.65	$195.73	$1,968.90
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,790.00 / $2,733.00	Facility		$500.00	$1,790.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $159.94 / $352.08	Professional		$107.55	$159.94	$352.08