Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,995.26 / $3,630.78	Facility		$851.14	$1,995.26	$3,630.78
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $57.54 / $131.83 / $3,019.95	Facility	53	$57.54	$131.83	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $954.99	Professional		$173.78	$331.13	$954.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $128.82 / $234.42	Professional	53	$64.57	$128.82	$234.42
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,949.84 / $28,840.32	Facility		$436.52	$1,949.84	$28,840.32
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $239.88 / $263.03 / $549.54	Facility	53	$239.88	$263.03	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,023.29	Professional		$204.17	$407.38	$1,023.29
AllWays Health Partners Facility/Professional Professional Modifier 53 Low / Median / High Price $97.72 / $199.53 / $416.87	Professional	53	$97.72	$199.53	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $575.44	Facility		$257.04	$257.04	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $724.44	Professional		$257.04	$436.52	$724.44
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $63.10 / $109.65 / $181.97	Professional	53	$63.10	$109.65	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $1,995.26	Facility		$588.84	$645.65	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	53	$776.25	$776.25	$776.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $7,079.46	Facility		$169.82	$380.19	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,949.84 / $7,079.46	Facility		$346.74	$1,949.84	$7,079.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $954.99	Professional		$199.53	$436.52	$954.99
Health New England Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,949.84 / $4,570.88	Facility		$794.33	$1,949.84	$4,570.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $602.56	Professional		$288.40	$549.54	$602.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,949.84 / $28,840.32	Facility		$436.52	$1,949.84	$28,840.32
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $239.88 / $263.03 / $549.54	Facility	53	$239.88	$263.03	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,023.29	Professional		$204.17	$407.38	$1,023.29
Mass General Brigham Facility/Professional Professional Modifier 53 Low / Median / High Price $97.72 / $199.53 / $416.87	Professional	53	$97.72	$199.53	$416.87
Tufts Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $1,174.90	Facility		$363.08	$616.60	$1,174.90
Tufts Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $338.84	Professional		$112.20	$204.17	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,041.74 / $5,623.41	Facility		$512.86	$2,041.74	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $891.25	Professional		$199.53	$416.87	$891.25