Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.39 / $988.00 / $2,747.00	Facility		$473.39	$988.00	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.38 / $216.38 / $242.93	Facility	54	$216.38	$216.38	$242.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $342.90 / $876.26	Professional		$286.87	$342.90	$876.26
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 $1,193.36 / $1,193.36 / $1,193.36	Facility	54	$1,193.36	$1,193.36	$1,193.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $319.63 / $667.95 / $2,653.04	Professional		$319.63	$667.95	$2,653.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.76 / $512.41 / $914.76	Facility		$398.76	$512.41	$914.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.14 / $686.27 / $979.37	Professional		$450.14	$686.27	$979.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.68 / $569.45 / $998.76	Professional		$348.68	$569.45	$998.76
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $331.55 / $727.08 / $6,679.00	Facility		$331.55	$727.08	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $428.11 / $522.30 / $722.29	Professional		$428.11	$522.30	$722.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.14 / $819.98 / $1,055.88	Professional		$407.14	$819.98	$1,055.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $412.91 / $412.91 / $412.91	Professional		$412.91	$412.91	$412.91
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 $1,193.36 / $1,193.36 / $1,193.36	Facility	54	$1,193.36	$1,193.36	$1,193.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $363.42 / $711.19 / $2,653.04	Professional		$363.42	$711.19	$2,653.04
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 $357.64 / $566.75 / $1,111.38	Professional		$357.64	$566.75	$1,111.38