Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $537.00 / $2,747.00	Facility		$248.93	$537.00	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.07 / $168.07 / $187.38	Facility	54	$168.07	$168.07	$187.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $264.17 / $664.83	Professional		$220.46	$264.17	$664.83
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 $938.62 / $938.62 / $938.62	Facility	54	$938.62	$938.62	$938.62
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $247.89 / $511.50 / $2,013.92	Professional		$247.89	$511.50	$2,013.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.36 / $402.67 / $718.85	Facility		$313.36	$402.67	$718.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.12 / $527.04 / $744.61	Professional		$363.12	$527.04	$744.61
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 $274.00 / $439.98 / $757.51	Professional		$274.00	$439.98	$757.51
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $399.97 / $6,679.00	Facility		$214.32	$399.97	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $325.18 / $396.73 / $549.16	Professional		$325.18	$396.73	$549.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $318.67 / $636.41 / $818.30	Professional		$318.67	$636.41	$818.30
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 $399.60 / $427.78 / $844.29	Professional		$399.60	$427.78	$844.29
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,340.88 / $3,445.00	Facility		$55.00	$1,340.88	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $938.62 / $938.62 / $938.62	Facility	54	$938.62	$938.62	$938.62
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $284.95 / $542.19 / $2,013.92	Professional		$284.95	$542.19	$2,013.92
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 $275.00 / $439.84 / $863.04	Professional		$275.00	$439.84	$863.04