Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $2,067.00 / $3,625.00	Facility		$255.33	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $181.58 / $181.58 / $191.50	Facility	54	$181.58	$181.58	$191.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $284.91 / $676.03	Professional		$234.47	$284.91	$676.03
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $818.35 / $2,713.00	Facility		$308.00	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $990.65 / $990.65 / $990.65	Facility	54	$990.65	$990.65	$990.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $266.36 / $530.30 / $2,051.52	Professional		$266.36	$530.30	$2,051.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.97 / $425.30 / $759.25	Facility		$330.97	$425.30	$759.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.68 / $542.72 / $731.39	Professional		$346.68	$542.72	$731.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $455.50 / $783.66	Professional		$283.00	$455.50	$783.66
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $280.72 / $603.48 / $6,679.00	Facility		$280.72	$603.48	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $402.99 / $556.28	Professional		$330.39	$402.99	$556.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $662.02 / $861.36	Professional		$337.92	$662.02	$861.36
Health New England Facility/Professional Facility Modifier Low / Median / High Price $253.09 / $253.09 / $253.09	Facility		$253.09	$253.09	$253.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $363.00 / $372.21	Professional		$363.00	$363.00	$372.21
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,562.20 / $3,445.00	Facility		$55.00	$1,562.20	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $990.65 / $990.65 / $990.65	Facility	54	$990.65	$990.65	$990.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $296.12 / $564.12 / $2,051.52	Professional		$296.12	$564.12	$2,051.52
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 $282.25 / $442.50 / $1,193.78	Professional		$282.25	$442.50	$1,193.78