Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $1,886.00 / $3,625.00	Facility		$130.24	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $324.70 / $324.70 / $324.70	Facility	50	$324.70	$324.70	$324.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $143.26 / $230.10	Professional		$111.78	$143.26	$230.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $195.48 / $195.48 / $937.50	Professional	50	$195.48	$195.48	$937.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $265.69 / $716.81 / $2,713.00	Facility		$265.69	$716.81	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $181.52 / $852.40	Professional		$102.40	$181.52	$852.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.84 / $182.81 / $323.08	Facility		$140.84	$182.81	$323.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.51 / $252.78 / $338.30	Professional		$183.51	$252.78	$338.30
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $216.00 / $216.00 / $308.82	Professional	50	$216.00	$216.00	$308.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $109.08	Facility		$50.00	$50.00	$109.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $232.83 / $408.69	Professional		$112.62	$232.83	$408.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $120.11 / $214.32 / $6,679.00	Facility		$120.11	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $186.43 / $257.35	Professional		$147.56	$186.43	$257.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $295.69 / $425.24	Professional		$143.77	$295.69	$425.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $218.46 / $321.57	Professional		$85.23	$218.46	$321.57
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 $129.47 / $206.66 / $1,199.94	Professional		$129.47	$206.66	$1,199.94
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 $126.11 / $167.75 / $405.95	Professional		$126.11	$167.75	$405.95