Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.43 / $1,886.00 / $3,625.00	Facility		$339.43	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.89 / $229.89 / $254.57	Facility	54	$229.89	$229.89	$254.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $363.28 / $849.87	Professional		$300.43	$363.28	$849.87
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 54 Low / Median / High Price $1,265.30 / $1,265.30 / $1,265.30	Facility	54	$1,265.30	$1,265.30	$1,265.30
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $695.80 / $2,732.08	Professional		$339.11	$695.80	$2,732.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.94 / $543.48 / $970.22	Facility		$422.94	$543.48	$970.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.59 / $695.74 / $939.56	Professional		$461.59	$695.74	$939.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.59 / $604.73 / $1,033.80	Professional		$370.59	$604.73	$1,033.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $352.16 / $771.18 / $6,679.00	Facility		$352.16	$771.18	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $439.94 / $536.55 / $740.66	Professional		$439.94	$536.55	$740.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $432.95 / $863.48 / $1,121.00	Professional		$432.95	$863.48	$1,121.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $335.67 / $335.67 / $335.67	Facility		$335.67	$335.67	$335.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $391.87 / $391.87	Professional		$391.87	$391.87	$391.87
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 54 Low / Median / High Price $1,265.30 / $1,265.30 / $1,265.30	Facility	54	$1,265.30	$1,265.30	$1,265.30
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $744.37 / $2,732.08	Professional		$382.50	$744.37	$2,732.08
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 $371.00 / $553.25 / $1,136.53	Professional		$371.00	$553.25	$1,136.53