Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.38 / $1,886.00 / $3,625.00	Facility		$225.38	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.66 / $163.66 / $169.04	Facility	54	$163.66	$163.66	$169.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $247.40 / $611.15	Professional		$201.33	$247.40	$611.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $877.88 / $3,445.00	Facility		$464.01	$877.88	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $443.97 / $443.97 / $895.43	Facility	54	$443.97	$443.97	$895.43
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $237.44 / $454.84 / $1,776.88	Professional		$237.44	$454.84	$1,776.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.45 / $398.94 / $712.20	Facility		$310.45	$398.94	$712.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $476.98 / $665.16	Professional		$310.45	$476.98	$665.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.04 / $414.65 / $712.45	Professional		$254.04	$414.65	$712.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $566.10 / $6,679.00	Facility		$263.23	$566.10	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $348.05 / $480.44	Professional		$285.89	$348.05	$480.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $306.38 / $594.42 / $780.96	Professional		$306.38	$594.42	$780.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $339.39 / $796.30 / $796.30	Professional		$339.39	$796.30	$796.30
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 $443.97 / $443.97 / $895.43	Facility	54	$443.97	$443.97	$895.43
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $254.11 / $488.16 / $1,838.88	Professional		$254.11	$488.16	$1,838.88
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 $241.44 / $373.49 / $759.11	Professional		$241.44	$373.49	$759.11