Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.91 / $1,089.38 / $2,900.00	Facility		$293.91	$1,089.38	$2,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $133.72 / $133.72 / $146.96	Facility	52	$133.72	$133.72	$146.96
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.58 / $220.43 / $1,023.96	Facility	54	$200.58	$220.43	$1,023.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $311.27 / $731.67	Professional		$254.15	$311.27	$731.67
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $947.00 / $3,445.00	Facility		$464.01	$947.00	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $1,285.16 / $1,285.16 / $1,285.16	Facility	52	$1,285.16	$1,285.16	$1,285.16
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,124.51 / $1,124.51 / $1,124.51	Facility	54	$1,124.51	$1,124.51	$1,124.51
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $299.41 / $609.99 / $2,506.96	Professional		$299.41	$609.99	$2,506.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.73 / $484.10 / $864.22	Facility		$376.73	$484.10	$864.22
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $263.70 / $338.87 / $559.07	Facility	54	$263.70	$338.87	$559.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $636.55 / $915.73	Professional		$446.56	$636.55	$915.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.73 / $539.87 / $920.62	Professional		$323.73	$539.87	$920.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $315.18 / $686.92 / $6,679.00	Facility		$315.18	$686.92	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $402.63 / $489.26 / $675.36	Professional		$402.63	$489.26	$675.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.53 / $784.51 / $1,005.48	Professional		$389.53	$784.51	$1,005.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $232.13 / $382.32 / $2,545.28	Facility		$232.13	$382.32	$2,545.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $404.05 / $431.28 / $738.94	Professional		$404.05	$431.28	$738.94
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 52 Low / Median / High Price $1,285.16 / $1,285.16 / $1,285.16	Facility	52	$1,285.16	$1,285.16	$1,285.16
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,124.51 / $1,124.51 / $1,124.51	Facility	54	$1,124.51	$1,124.51	$1,124.51
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $343.77 / $649.47 / $2,506.96	Professional		$343.77	$649.47	$2,506.96
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 $323.69 / $518.49 / $1,032.47	Professional		$323.69	$518.49	$1,032.47