Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.23 / $1,845.24 / $3,116.00	Facility		$359.23	$1,845.24	$3,116.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.54 / $92.54 / $179.62	Facility	52	$92.54	$92.54	$179.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.01 / $71.84 / $157.36	Facility	53	$37.01	$71.84	$157.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $317.81 / $667.43	Professional		$176.95	$317.81	$667.43
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.01 / $78.43 / $168.92	Professional	53	$37.01	$78.43	$168.92
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $473.00 / $1,267.00 / $16,394.00	Facility		$473.00	$1,267.00	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $716.72 / $716.72 / $716.72	Facility	52	$716.72	$716.72	$716.72
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $179.18 / $237.61 / $286.60	Facility	53	$179.18	$237.61	$286.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $561.49 / $1,865.10	Professional		$274.54	$561.49	$1,865.10
AllWays Health Partners Facility/Professional Professional Modifier 53 Low / Median / High Price $98.25 / $219.49 / $460.34	Professional	53	$98.25	$219.49	$460.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.61 / $327.17 / $583.57	Facility		$254.61	$327.17	$583.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $417.53 / $731.67	Professional		$99.55	$417.53	$731.67
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $81.22 / $127.05 / $182.94	Professional	53	$81.22	$127.05	$182.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $865.37 / $2,000.00	Facility		$593.00	$865.37	$2,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $392.06	Professional		$301.45	$301.45	$392.06
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $183.35 / $383.24 / $6,679.00	Facility		$183.35	$383.24	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $389.38 / $501.74 / $879.71	Professional		$389.38	$501.74	$879.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $497.18 / $919.05	Professional		$269.70	$497.18	$919.05
Health New England Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,890.69 / $4,556.76	Facility		$850.00	$1,890.69	$4,556.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $533.96 / $599.69	Professional		$266.98	$533.96	$599.69
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,878.00 / $16,394.00	Facility		$540.00	$1,878.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $716.72 / $716.72 / $716.72	Facility	52	$716.72	$716.72	$716.72
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $179.18 / $179.18 / $179.18	Facility	53	$179.18	$179.18	$179.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $735.42 / $2,206.53	Professional		$387.86	$735.42	$2,206.53
Tufts Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $394.06 / $1,385.87	Facility		$204.78	$394.06	$1,385.87
Tufts Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $257.60 / $534.74	Professional		$115.00	$257.60	$534.74
United Facility/Professional Facility Modifier Low / Median / High Price $473.00 / $1,878.00 / $5,110.00	Facility		$473.00	$1,878.00	$5,110.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.98 / $632.75 / $1,344.09	Professional		$370.98	$632.75	$1,344.09