Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $2,067.00 / $3,625.00	Facility		$247.50	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,840.68 / $2,840.68 / $2,840.68	Facility	50	$2,840.68	$2,840.68	$2,840.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.31 / $229.75 / $335.11	Professional		$171.31	$229.75	$335.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.63 / $403.28 / $1,519.55	Professional	50	$344.63	$403.28	$1,519.55
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $877.26 / $3,445.00	Facility		$308.00	$877.26	$3,445.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $246.92 / $930.16	Professional		$123.94	$246.92	$930.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $198.32 / $350.50	Facility		$152.79	$198.32	$350.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $274.24 / $385.49	Professional		$199.09	$274.24	$385.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $267.95 / $267.95 / $308.82	Professional	50	$267.95	$267.95	$308.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.10 / $210.10 / $210.10	Facility		$210.10	$210.10	$210.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $273.01 / $483.62	Professional		$160.47	$273.01	$483.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $214.32 / $6,679.00	Facility		$130.69	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $177.62 / $224.50 / $309.89	Professional		$177.62	$224.50	$309.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $328.29 / $512.01	Professional		$156.88	$328.29	$512.01
Health New England Facility/Professional Facility Modifier Low / Median / High Price $860.97 / $860.97 / $860.97	Facility		$860.97	$860.97	$860.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $228.37 / $234.73 / $399.67	Professional		$228.37	$234.73	$399.67
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $1,818.00 / $12,000.00	Facility		$502.00	$1,818.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $316.08 / $1,466.09	Professional		$173.87	$316.08	$1,466.09
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 $168.57 / $249.61 / $484.69	Professional		$168.57	$249.61	$484.69