Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.67 / $2,663.12 / $3,625.00	Facility		$434.67	$2,663.12	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.23 / $296.23 / $326.00	Facility	54	$296.23	$296.23	$326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $462.61 / $799.72	Professional		$394.97	$462.61	$799.72
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $989.74 / $2,826.85 / $9,039.00	Facility		$989.74	$2,826.85	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,575.82 / $1,575.82 / $1,575.82	Facility	54	$1,575.82	$1,575.82	$1,575.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $462.33 / $894.47 / $3,497.68	Professional		$462.33	$894.47	$3,497.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.05 / $678.56 / $1,211.36	Facility		$528.05	$678.56	$1,211.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $768.04 / $1,349.20	Professional		$475.43	$768.04	$1,349.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $442.14 / $962.86 / $6,679.00	Facility		$442.14	$962.86	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $561.29 / $681.46 / $940.68	Professional		$561.29	$681.46	$940.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $546.82 / $1,113.60 / $1,489.30	Professional		$546.82	$1,113.60	$1,489.30
Health New England Facility/Professional Facility Modifier Low / Median / High Price $648.63 / $648.63 / $1,679.40	Facility		$648.63	$648.63	$1,679.40
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $16,394.00	Facility		$1,902.00	$3,764.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,575.82 / $1,575.82 / $1,575.82	Facility	54	$1,575.82	$1,575.82	$1,575.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $515.04 / $1,007.81 / $3,497.68	Professional		$515.04	$1,007.81	$3,497.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.97 / $700.32 / $1,368.66	Professional		$508.97	$700.32	$1,368.66