Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.62 / $748.62 / $2,747.00	Facility		$153.62	$748.62	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $55.68 / $55.68 / $67.69	Facility	54	$55.68	$55.68	$67.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $186.00 / $320.31	Professional		$85.31	$186.00	$320.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $240.23 / $555.85 / $2,713.00	Facility		$240.23	$555.85	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $389.09 / $389.09 / $389.09	Facility	54	$389.09	$389.09	$389.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $194.99 / $782.96	Professional		$97.09	$194.99	$782.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.49 / $168.34 / $297.05	Facility		$129.49	$168.34	$297.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $231.66 / $321.83	Professional		$147.55	$231.66	$321.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $214.05 / $406.68	Professional		$130.55	$214.05	$406.68
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $214.32 / $6,679.00	Facility		$110.51	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $180.14 / $248.67	Professional		$142.47	$180.14	$248.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $271.80 / $366.49	Professional		$132.71	$271.80	$366.49
Health New England Facility/Professional Facility Modifier Low / Median / High Price $147.76 / $246.67 / $408.99	Facility		$147.76	$246.67	$408.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $207.29 / $335.74	Professional		$173.22	$207.29	$335.74
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $389.09 / $389.09 / $389.09	Facility	54	$389.09	$389.09	$389.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $225.14 / $926.08	Professional		$120.23	$225.14	$926.08
Tufts Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $243.05 / $398.19	Facility		$76.93	$243.05	$398.19
Tufts Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $130.97 / $271.24	Professional		$96.13	$130.97	$271.24
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $3,445.00	Facility		$627.00	$1,818.00	$3,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $168.16 / $347.59	Professional		$96.32	$168.16	$347.59