Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.37 / $600.90 / $2,747.00	Facility		$391.37	$600.90	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $176.27 / $176.27 / $193.44	Facility	54	$176.27	$176.27	$193.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $277.12 / $637.83	Professional		$226.50	$277.12	$637.83
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 $986.00 / $986.00 / $986.00	Facility	54	$986.00	$986.00	$986.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $535.90 / $2,159.92	Professional		$255.90	$535.90	$2,159.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.42 / $423.30 / $755.69	Facility		$329.42	$423.30	$755.69
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $230.59 / $296.31 / $488.85	Facility	54	$230.59	$296.31	$488.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $550.66 / $759.08	Professional		$365.52	$550.66	$759.08
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 $286.39 / $467.22 / $802.79	Professional		$286.39	$467.22	$802.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $420.46 / $6,679.00	Facility		$214.32	$420.46	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $424.61 / $586.50	Professional		$348.03	$424.61	$586.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $336.69 / $678.09 / $867.50	Professional		$336.69	$678.09	$867.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $257.89 / $462.60	Professional		$257.89	$257.89	$462.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,408.57 / $3,445.00	Facility		$55.00	$1,408.57	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $986.00 / $986.00 / $986.00	Facility	54	$986.00	$986.00	$986.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $570.59 / $2,159.92	Professional		$294.70	$570.59	$2,159.92
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 $285.68 / $455.52 / $873.96	Professional		$285.68	$455.52	$873.96