Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.94 / $665.55 / $2,747.00	Facility		$374.94	$665.55	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $169.98 / $169.98 / $186.34	Facility	54	$169.98	$169.98	$186.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $293.66 / $689.25	Professional		$220.50	$293.66	$689.25
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $818.35 / $2,713.00	Facility		$308.00	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $946.86 / $946.86 / $946.86	Facility	54	$946.86	$946.86	$946.86
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $515.04 / $2,006.00	Professional		$250.49	$515.04	$2,006.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.37 / $406.54 / $725.75	Facility		$316.37	$406.54	$725.75
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $221.46 / $284.58 / $469.50	Facility	54	$221.46	$284.58	$469.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $531.75 / $740.98	Professional		$376.48	$531.75	$740.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.62 / $445.33 / $756.14	Professional		$277.62	$445.33	$756.14
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $403.80 / $6,679.00	Facility		$214.32	$403.80	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $395.16 / $546.48	Professional		$323.89	$395.16	$546.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $322.36 / $639.04 / $827.91	Professional		$322.36	$639.04	$827.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $351.97 / $367.68 / $571.54	Facility		$351.97	$367.68	$571.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $353.49 / $780.78	Professional		$195.30	$353.49	$780.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,352.66 / $3,445.00	Facility		$55.00	$1,352.66	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $946.86 / $946.86 / $946.86	Facility	54	$946.86	$946.86	$946.86
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $544.99 / $2,006.00	Professional		$288.08	$544.99	$2,006.00
United Facility/Professional Facility Modifier Low / Median / High Price $338.98 / $1,078.00 / $2,733.00	Facility		$338.98	$1,078.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $424.35 / $833.85	Professional		$274.94	$424.35	$833.85