Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $576.65 / $2,747.00	Facility		$466.80	$576.65	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $241.88 / $241.88 / $269.24	Facility	54	$241.88	$241.88	$269.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $387.99 / $773.45	Professional		$321.75	$387.99	$773.45
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 $1,323.52 / $1,323.52 / $1,323.52	Facility	54	$1,323.52	$1,323.52	$1,323.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $366.89 / $730.13 / $2,882.32	Professional		$366.89	$730.13	$2,882.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.52 / $568.64 / $1,015.14	Facility		$442.52	$568.64	$1,015.14
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $309.76 / $398.04 / $656.69	Facility	54	$309.76	$398.04	$656.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.15 / $767.33 / $1,080.25	Professional		$579.15	$767.33	$1,080.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.76 / $637.04 / $1,095.72	Professional		$388.76	$637.04	$1,095.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $368.84 / $806.90 / $6,679.00	Facility		$368.84	$806.90	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $463.81 / $565.25 / $780.26	Professional		$463.81	$565.25	$780.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $453.84 / $907.68 / $1,175.57	Professional		$453.84	$907.68	$1,175.57
Health New England Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $571.54 / $571.54	Facility		$571.54	$571.54	$571.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $443.82 / $443.82 / $989.00	Professional		$443.82	$443.82	$989.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,890.74 / $12,000.00	Facility		$627.00	$1,890.74	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,323.52 / $1,323.52 / $1,323.52	Facility	54	$1,323.52	$1,323.52	$1,323.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $414.37 / $801.60 / $2,882.32	Professional		$414.37	$801.60	$2,882.32
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 $407.21 / $610.69 / $1,196.84	Professional		$407.21	$610.69	$1,196.84