Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.23 / $1,826.19 / $3,363.00	Facility		$359.23	$1,826.19	$3,363.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.54 / $179.62 / $849.50	Facility	52	$92.54	$179.62	$849.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.01 / $71.84 / $157.79	Facility	53	$37.01	$71.84	$157.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $312.11 / $694.13	Professional		$177.06	$312.11	$694.13
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.01 / $78.63 / $173.76	Professional	53	$37.01	$78.63	$173.76
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $473.00 / $1,121.90 / $16,394.00	Facility		$473.00	$1,121.90	$16,394.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $717.55 / $717.55 / $717.55	Facility	52	$717.55	$717.55	$717.55
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $179.39 / $237.61 / $287.47	Facility	53	$179.39	$237.61	$287.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $561.80 / $1,868.45	Professional		$274.95	$561.80	$1,868.45
AllWays Health Partners Facility/Professional Professional Modifier 53 Low / Median / High Price $98.55 / $222.43 / $461.06	Professional	53	$98.55	$222.43	$461.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.92 / $327.57 / $584.28	Facility		$254.92	$327.57	$584.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $351.07 / $702.13	Professional		$91.71	$351.07	$702.13
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $83.30 / $114.39 / $182.48	Professional	53	$83.30	$114.39	$182.48
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 $301.75 / $301.75 / $392.49	Professional		$301.75	$301.75	$392.49
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $383.82 / $6,679.00	Facility		$183.60	$383.82	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $389.68 / $502.13 / $880.39	Professional		$389.68	$502.13	$880.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $498.09 / $919.96	Professional		$269.95	$498.09	$919.96
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,052.04 / $1,741.89 / $4,556.76	Facility		$1,052.04	$1,741.89	$4,556.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $373.34 / $521.23 / $566.99	Professional		$373.34	$521.23	$566.99
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 $717.55 / $717.55 / $717.55	Facility	52	$717.55	$717.55	$717.55
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $179.39 / $179.39 / $179.39	Facility	53	$179.39	$179.39	$179.39
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $388.55 / $736.26 / $2,208.13	Professional		$388.55	$736.26	$2,208.13
Tufts Facility/Professional Facility Modifier Low / Median / High Price $164.04 / $373.77 / $1,515.79	Facility		$164.04	$373.77	$1,515.79
Tufts Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $205.01 / $336.29	Professional		$116.38	$205.01	$336.29
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 $381.35 / $632.16 / $1,245.47	Professional		$381.35	$632.16	$1,245.47