Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.87 / $1,803.00 / $3,363.00	Facility		$227.87	$1,803.00	$3,363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $178.96 / $390.08	Professional		$120.54	$178.96	$390.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.76 / $302.98 / $1,297.50	Professional	50	$172.76	$302.98	$1,297.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $716.81 / $2,713.00	Facility		$265.33	$716.81	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $213.43 / $853.20	Professional		$112.73	$213.43	$853.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.71 / $181.34 / $320.49	Facility		$139.71	$181.34	$320.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $258.77 / $377.88	Professional		$195.87	$258.77	$377.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $119.27	Facility		$50.00	$50.00	$119.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $241.01 / $437.44	Professional		$123.61	$241.01	$437.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $119.51 / $214.32 / $6,679.00	Facility		$119.51	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $201.90 / $278.70	Professional		$159.81	$201.90	$278.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $299.14 / $467.06	Professional		$142.94	$299.14	$467.06
Health New England Facility/Professional Facility Modifier Low / Median / High Price $673.92 / $673.92 / $1,034.51	Facility		$673.92	$673.92	$1,034.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $253.35 / $539.36	Professional		$91.67	$253.35	$539.36
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 $156.53 / $255.73 / $1,141.28	Professional		$156.53	$255.73	$1,141.28
Tufts Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $88.89 / $88.89	Facility		$88.89	$88.89	$88.89
Tufts Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $144.59 / $265.77	Professional		$102.22	$144.59	$265.77
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 $148.18 / $223.68 / $462.06	Professional		$148.18	$223.68	$462.06