Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.34 / $600.90 / $2,747.00	Facility		$393.34	$600.90	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $176.97 / $176.97 / $197.36	Facility	54	$176.97	$176.97	$197.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $285.14 / $666.51	Professional		$229.87	$285.14	$666.51
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 $990.75 / $990.75 / $990.75	Facility	54	$990.75	$990.75	$990.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $259.98 / $546.62 / $2,199.12	Professional		$259.98	$546.62	$2,199.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.07 / $425.42 / $759.47	Facility		$331.07	$425.42	$759.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.69 / $553.41 / $786.27	Professional		$372.69	$553.41	$786.27
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 $287.99 / $470.26 / $820.22	Professional		$287.99	$470.26	$820.22
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $422.56 / $6,679.00	Facility		$214.32	$422.56	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $354.65 / $432.68 / $598.01	Professional		$354.65	$432.68	$598.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $338.33 / $681.40 / $871.78	Professional		$338.33	$681.40	$871.78
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 $336.35 / $336.35 / $470.87	Professional		$336.35	$336.35	$470.87
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,415.36 / $3,445.00	Facility		$55.00	$1,415.36	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $990.75 / $990.75 / $990.75	Facility	54	$990.75	$990.75	$990.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $583.52 / $2,199.12	Professional		$300.08	$583.52	$2,199.12
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 $294.13 / $431.80 / $914.99	Professional		$294.13	$431.80	$914.99