Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.63 / $2,618.00 / $4,041.99	Facility		$614.63	$2,618.00	$4,041.99
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,646.77 / $2,646.77 / $2,646.77	Facility	50	$2,646.77	$2,646.77	$2,646.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $646.84 / $1,834.29	Professional		$423.77	$646.84	$1,834.29
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,134.03 / $3,764.00 / $12,379.00	Facility		$1,134.03	$3,764.00	$12,379.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $556.39 / $1,277.85 / $5,714.48	Professional		$556.39	$1,277.85	$5,714.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.84 / $773.29 / $1,364.56	Facility		$594.84	$773.29	$1,364.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.48 / $975.48 / $1,479.01	Professional		$975.48	$975.48	$1,479.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.14 / $1,328.23 / $2,230.84	Professional		$728.14	$1,328.23	$2,230.84
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $499.01 / $1,084.61 / $6,679.00	Facility		$499.01	$1,084.61	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $857.34 / $1,083.34 / $1,885.54	Professional		$857.34	$1,083.34	$1,885.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $630.17 / $1,356.89 / $2,022.40	Professional		$630.17	$1,356.89	$2,022.40
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $4,249.00 / $16,394.00	Facility		$1,902.00	$4,249.00	$16,394.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $771.48 / $1,993.92 / $5,714.48	Professional		$771.48	$1,993.92	$5,714.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $4,249.00 / $9,821.00	Facility		$1,700.00	$4,249.00	$9,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.80 / $1,109.82 / $2,416.59	Professional		$635.80	$1,109.82	$2,416.59