Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $4,799.67 / $35,382.96	Facility		$2,663.12	$4,799.67	$35,382.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $210.90 / $210.90 / $210.90	Facility	53	$210.90	$210.90	$210.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.20 / $1,381.87 / $4,710.00	Professional		$980.20	$1,381.87	$4,710.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,036.00 / $6,029.00 / $38,975.30	Facility		$2,036.00	$6,029.00	$38,975.30
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $5,345.40 / $5,345.40 / $5,345.40	Facility	53	$5,345.40	$5,345.40	$5,345.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $837.89 / $1,769.80 / $6,806.64	Professional		$837.89	$1,769.80	$6,806.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,112.91 / $34,671.83 / $44,844.87	Facility		$29,112.91	$34,671.83	$44,844.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,851.32 / $11,617.47 / $13,632.60	Facility		$4,851.32	$11,617.47	$13,632.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.36 / $2,263.67 / $3,245.72	Professional		$1,730.36	$2,263.67	$3,245.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $894.49 / $1,901.42 / $7,218.72	Facility		$894.49	$1,901.42	$7,218.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $565.66 / $1,090.94 / $1,654.81	Professional		$565.66	$1,090.94	$1,654.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,135.41 / $2,270.82 / $3,690.08	Professional		$1,135.41	$2,270.82	$3,690.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $9,100.39 / $39,359.83 / $62,212.18	Facility		$9,100.39	$39,359.83	$62,212.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,450.96 / $2,095.00 / $3,370.00	Professional		$1,450.96	$2,095.00	$3,370.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,540.00 / $7,292.00 / $15,841.00	Facility		$2,540.00	$7,292.00	$15,841.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $5,345.40 / $5,345.40 / $5,345.40	Facility	53	$5,345.40	$5,345.40	$5,345.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,330.99 / $1,999.33 / $6,806.64	Professional		$1,330.99	$1,999.33	$6,806.64
Tufts Facility/Professional Facility Modifier Low / Median / High Price $11,409.49 / $16,737.58 / $33,872.36	Facility		$11,409.49	$16,737.58	$33,872.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,540.00 / $7,157.00 / $12,570.00	Facility		$2,540.00	$7,157.00	$12,570.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,257.29 / $1,769.80 / $3,303.74	Professional		$1,257.29	$1,769.80	$3,303.74