Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.18 / $2,079.00 / $3,625.00	Facility		$284.18	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.63 / $194.63 / $213.14	Facility	54	$194.63	$194.63	$213.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $289.66 / $490.93	Professional		$253.07	$289.66	$490.93
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $947.00 / $3,445.00	Facility		$464.01	$947.00	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,080.72 / $1,080.72 / $1,080.72	Facility	54	$1,080.72	$1,080.72	$1,080.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $288.12 / $585.10 / $2,273.04	Professional		$288.12	$585.10	$2,273.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.61 / $465.95 / $831.83	Facility		$362.61	$465.95	$831.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.78 / $606.14 / $845.17	Professional		$420.78	$606.14	$845.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.41 / $498.53 / $871.93	Professional		$309.41	$498.53	$871.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $303.54 / $661.18 / $6,679.00	Facility		$303.54	$661.18	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $364.86 / $442.25 / $610.47	Professional		$364.86	$442.25	$610.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $737.29 / $973.41	Professional		$376.01	$737.29	$973.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $12,000.00	Facility		$627.00	$1,818.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,080.72 / $1,080.72 / $1,080.72	Facility	54	$1,080.72	$1,080.72	$1,080.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $629.61 / $2,273.04	Professional		$301.37	$629.61	$2,273.04
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 $292.67 / $455.90 / $983.30	Professional		$292.67	$455.90	$983.30