Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,288.25 / $3,388.44	Facility		$309.03	$1,288.25	$3,388.44
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	54	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $954.99	Professional		$295.12	$467.74	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,047.13 / $1,380.38	Professional	50	$691.83	$1,047.13	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $223.87 / $398.11 / $616.60	Professional	54	$223.87	$398.11	$616.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $812.83 / $3,467.37	Facility		$56.23	$812.83	$3,467.37
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $1,230.27	Professional		$275.42	$467.74	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $954.99	Facility		$416.87	$416.87	$954.99
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $295.12 / $295.12 / $660.69	Facility	54	$295.12	$295.12	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $977.24	Professional		$416.87	$645.65	$977.24
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $457.09 / $691.83	Professional	54	$295.12	$457.09	$691.83
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 $323.59 / $524.81 / $954.99	Professional		$323.59	$524.81	$954.99
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $562.34 / $7,079.46	Facility		$177.83	$562.34	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $691.83	Professional		$446.68	$549.54	$691.83
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 $398.11 / $645.65 / $1,000.00	Professional		$398.11	$645.65	$1,000.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $575.44 / $758.58	Facility		$239.88	$575.44	$758.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $549.54	Professional		$346.74	$489.78	$549.54
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $812.83 / $3,467.37	Facility		$56.23	$812.83	$3,467.37
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $1,230.27	Professional		$275.42	$467.74	$1,230.27
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 $302.00 / $478.63 / $1,023.29	Professional		$302.00	$478.63	$1,023.29