Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $5,100.95 / $23,003.60	Facility		$2,663.12	$5,100.95	$23,003.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $280.04 / $280.04 / $280.04	Facility	52	$280.04	$280.04	$280.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.02 / $112.02 / $112.02	Facility	53	$112.02	$112.02	$112.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.08 / $961.59 / $2,810.95	Professional		$560.08	$961.59	$2,810.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,317.84 / $5,097.00 / $30,922.00	Facility		$1,317.84	$5,097.00	$30,922.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $30,081.88 / $30,081.88 / $30,081.88	Facility	52	$30,081.88	$30,081.88	$30,081.88
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $7,520.47 / $7,520.47 / $7,520.47	Facility	53	$7,520.47	$7,520.47	$7,520.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $472.40 / $1,026.31 / $3,571.80	Professional		$472.40	$1,026.31	$3,571.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $14,868.13 / $20,251.00	Facility		$3,700.00	$14,868.13	$20,251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.72 / $1,209.64 / $1,919.25	Professional		$1,046.72	$1,209.64	$1,919.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $565.12 / $1,174.78 / $6,679.00	Facility		$565.12	$1,174.78	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $349.50 / $649.07 / $1,024.97	Professional		$349.50	$649.07	$1,024.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $704.92 / $1,409.84 / $2,290.98	Professional		$704.92	$1,409.84	$2,290.98
Health New England Facility/Professional Facility Modifier Low / Median / High Price $11,996.45 / $13,352.34 / $14,462.78	Facility		$11,996.45	$13,352.34	$14,462.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $467.00 / $923.62 / $1,759.99	Professional		$467.00	$923.62	$1,759.99
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $32,453.00	Facility		$2,386.00	$6,078.00	$32,453.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $30,081.88 / $30,081.88 / $30,081.88	Facility	52	$30,081.88	$30,081.88	$30,081.88
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $7,520.47 / $7,520.47 / $7,520.47	Facility	53	$7,520.47	$7,520.47	$7,520.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $1,154.85 / $3,571.80	Professional		$741.90	$1,154.85	$3,571.80
Tufts Facility/Professional Facility Modifier Low / Median / High Price $454.04 / $10,086.29 / $13,772.17	Facility		$454.04	$10,086.29	$13,772.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $6,078.00 / $24,167.00	Facility		$2,386.00	$6,078.00	$24,167.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.30 / $920.39 / $2,094.89	Professional		$706.30	$920.39	$2,094.89