Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.32 / $2,067.00 / $3,685.00	Facility		$468.32	$2,067.00	$3,685.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.02 / $315.02 / $351.24	Facility	54	$315.02	$315.02	$351.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.04 / $496.66 / $1,181.81	Professional		$420.04	$496.66	$1,181.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,856.00 / $4,142.00	Facility		$736.00	$1,856.00	$4,142.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,665.50 / $1,665.50 / $1,665.50	Facility	54	$1,665.50	$1,665.50	$1,665.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $495.09 / $953.93 / $3,751.68	Professional		$495.09	$953.93	$3,751.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.19 / $717.27 / $1,280.49	Facility		$558.19	$717.27	$1,280.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.12 / $956.79 / $1,306.49	Professional		$629.12	$956.79	$1,306.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.45 / $822.11 / $1,438.59	Professional		$501.45	$822.11	$1,438.59
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $467.49 / $1,017.80 / $6,679.00	Facility		$467.49	$1,017.80	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $602.22 / $731.29 / $1,009.47	Professional		$602.22	$731.29	$1,009.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $578.36 / $1,186.22 / $1,575.79	Professional		$578.36	$1,186.22	$1,575.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $640.76 / $745.51 / $931.89	Professional		$640.76	$745.51	$931.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,217.00 / $12,000.00	Facility		$627.00	$2,217.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,665.50 / $1,665.50 / $1,665.50	Facility	54	$1,665.50	$1,665.50	$1,665.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $550.66 / $1,079.25 / $3,751.68	Professional		$550.66	$1,079.25	$3,751.68
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 $535.40 / $802.98 / $1,653.77	Professional		$535.40	$802.98	$1,653.77