Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.09 / $988.00 / $3,103.52	Facility		$159.09	$988.00	$3,103.52
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $102.20 / $102.20 / $117.92	Facility	54	$102.20	$102.20	$117.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $301.79 / $549.76	Professional		$144.27	$301.79	$549.76
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $781.24 / $2,713.00	Facility		$308.00	$781.24	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $657.69 / $657.69 / $657.69	Facility	54	$657.69	$657.69	$657.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $327.77 / $1,342.08	Professional		$162.94	$327.77	$1,342.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.43 / $285.26 / $503.37	Facility		$219.43	$285.26	$503.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.62 / $392.56 / $544.63	Professional		$292.62	$392.56	$544.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.54 / $354.70 / $699.20	Professional		$221.54	$354.70	$699.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $184.76 / $300.00 / $6,679.00	Facility		$184.76	$300.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $237.53 / $298.50 / $412.05	Professional		$237.53	$298.50	$412.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $227.74 / $458.67 / $651.20	Professional		$227.74	$458.67	$651.20
Health New England Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $458.50 / $934.98	Facility		$174.76	$458.50	$934.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $533.69 / $687.93	Professional		$326.91	$533.69	$687.93
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 $657.69 / $657.69 / $657.69	Facility	54	$657.69	$657.69	$657.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $387.22 / $1,552.00	Professional		$207.14	$387.22	$1,552.00
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $283.17 / $571.95	Professional		$162.93	$283.17	$571.95