Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.88 / $1,473.20 / $3,363.00	Facility		$309.88	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.07 / $156.74 / $536.92	Facility	54	$154.07	$156.74	$536.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $246.62 / $588.40	Professional		$188.73	$246.62	$588.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $827.51 / $3,445.00	Facility		$464.01	$827.51	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $422.97 / $422.97 / $853.99	Facility	54	$422.97	$422.97	$853.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $220.71 / $433.46 / $1,692.56	Professional		$220.71	$433.46	$1,692.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $376.27 / $671.73	Facility		$292.82	$376.27	$671.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.61 / $469.81 / $637.09	Professional		$333.61	$469.81	$637.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.36 / $383.62 / $673.94	Professional		$238.36	$383.62	$673.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $248.23 / $533.91 / $6,679.00	Facility		$248.23	$533.91	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $331.98 / $458.27	Professional		$272.55	$331.98	$458.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $292.04 / $560.64 / $744.41	Professional		$292.04	$560.64	$744.41
Health New England Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $395.39 / $645.99	Facility		$209.30	$395.39	$645.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $686.68 / $746.95	Professional		$180.88	$686.68	$746.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,856.00 / $12,000.00	Facility		$627.00	$1,856.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $422.97 / $422.97 / $853.99	Facility	54	$422.97	$422.97	$853.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $455.79 / $1,733.12	Professional		$239.83	$455.79	$1,733.12
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 $230.36 / $356.44 / $699.26	Professional		$230.36	$356.44	$699.26