Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.54 / $538.20 / $2,096.25	Facility		$294.54	$538.20	$2,096.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.91 / $234.59 / $651.41	Facility	54	$220.91	$234.59	$651.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.92 / $381.37 / $829.08	Professional		$252.92	$381.37	$829.08
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $196.87 / $248.52 / $510.59	Professional	54	$196.87	$248.52	$510.59
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $385.83 / $853.13 / $2,713.00	Facility		$385.83	$853.13	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,251.83 / $1,251.83 / $1,251.83	Facility	54	$1,251.83	$1,251.83	$1,251.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $642.23 / $2,564.64	Professional		$304.79	$642.23	$2,564.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.61 / $536.63 / $958.00	Facility		$417.61	$536.63	$958.00
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $292.33 / $375.64 / $619.74	Facility	54	$292.33	$375.64	$619.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $686.97 / $908.59	Professional		$496.96	$686.97	$908.59
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $305.41 / $479.39 / $664.48	Professional	54	$305.41	$479.39	$664.48
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 $341.79 / $547.11 / $979.52	Professional		$341.79	$547.11	$979.52
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $533.02 / $6,679.00	Facility		$214.32	$533.02	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $505.46 / $700.08	Professional		$414.29	$505.46	$700.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $423.12 / $827.14 / $1,078.53	Professional		$423.12	$827.14	$1,078.53
Health New England Facility/Professional Facility Modifier Low / Median / High Price $242.46 / $277.55 / $757.88	Facility		$242.46	$277.55	$757.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $422.86 / $525.66 / $800.00	Professional		$422.86	$525.66	$800.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,788.33 / $3,445.00	Facility		$55.00	$1,788.33	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,251.83 / $1,251.83 / $1,251.83	Facility	54	$1,251.83	$1,251.83	$1,251.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $330.85 / $683.80 / $2,564.64	Professional		$330.85	$683.80	$2,564.64
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 $316.68 / $509.51 / $1,071.02	Professional		$316.68	$509.51	$1,071.02