Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.16 / $1,929.18 / $3,625.00	Facility		$309.16	$1,929.18	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.39 / $217.39 / $231.87	Facility	54	$217.39	$217.39	$231.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $341.24 / $814.86	Professional		$275.16	$341.24	$814.86
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $374.44 / $827.49 / $2,713.00	Facility		$374.44	$827.49	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,207.74 / $1,207.74 / $1,207.74	Facility	54	$1,207.74	$1,207.74	$1,207.74
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $320.41 / $647.05 / $2,519.36	Professional		$320.41	$647.05	$2,519.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.44 / $518.41 / $925.49	Facility		$403.44	$518.41	$925.49
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $282.41 / $362.90 / $598.71	Facility	54	$282.41	$362.90	$598.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $661.56 / $900.42	Professional		$426.80	$661.56	$900.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.82 / $559.15 / $951.71	Professional		$344.82	$559.15	$951.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $335.16 / $735.62 / $6,679.00	Facility		$335.16	$735.62	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $406.25 / $495.64 / $684.83	Professional		$406.25	$495.64	$684.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $411.24 / $810.33 / $1,048.25	Professional		$411.24	$810.33	$1,048.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $173.98 / $433.83 / $556.52	Facility		$173.98	$433.83	$556.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $399.47 / $425.97 / $707.39	Professional		$399.47	$425.97	$707.39
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,818.00 / $3,445.00	Facility		$55.00	$1,818.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,207.74 / $1,207.74 / $1,207.74	Facility	54	$1,207.74	$1,207.74	$1,207.74
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $360.21 / $684.54 / $2,519.36	Professional		$360.21	$684.54	$2,519.36
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 $343.58 / $511.78 / $1,046.61	Professional		$343.58	$511.78	$1,046.61