Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.33 / $2,079.00 / $3,625.00	Facility		$215.33	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $158.81 / $158.81 / $161.50	Facility	54	$158.81	$158.81	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $235.01 / $416.76	Professional		$200.78	$235.01	$416.76
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $854.70 / $3,445.00	Facility		$464.01	$854.70	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $896.72 / $896.72 / $896.72	Facility	54	$896.72	$896.72	$896.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.46 / $458.08 / $1,791.20	Professional		$229.46	$458.08	$1,791.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.85 / $385.31 / $687.86	Facility		$299.85	$385.31	$687.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.98 / $493.25 / $670.83	Professional		$333.98	$493.25	$670.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.65 / $395.80 / $706.62	Professional		$250.65	$395.80	$706.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $254.49 / $546.74 / $6,679.00	Facility		$254.49	$546.74	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $288.26 / $351.01 / $484.53	Professional		$288.26	$351.01	$484.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $306.79 / $580.62 / $769.20	Professional		$306.79	$580.62	$769.20
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 $896.72 / $896.72 / $896.72	Facility	54	$896.72	$896.72	$896.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $474.25 / $1,791.20	Professional		$248.38	$474.25	$1,791.20
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 $240.72 / $397.80 / $764.09	Professional		$240.72	$397.80	$764.09