Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,089.30 / $3,715.35	Facility		$257.04	$2,089.30	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $707.95	Professional		$234.42	$309.03	$707.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $676.08 / $2,818.38	Facility		$56.23	$676.08	$2,818.38
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $1,000.00	Professional		$234.42	$389.05	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Facility		$331.13	$331.13	$758.58
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $229.09 / $229.09 / $524.81	Facility	54	$229.09	$229.09	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $794.33	Professional		$331.13	$562.34	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $776.25	Professional		$281.84	$436.52	$776.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $446.68 / $7,079.46	Facility		$177.83	$446.68	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $588.84	Professional		$380.19	$467.74	$588.84
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $851.14	Professional		$331.13	$524.81	$851.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $467.74	Professional		$257.04	$257.04	$467.74
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $676.08 / $2,818.38	Facility		$56.23	$676.08	$2,818.38
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $1,000.00	Professional		$234.42	$389.05	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $2,818.38	Facility		$501.19	$1,819.70	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $851.14	Professional		$257.04	$407.38	$851.14