Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.62 / $1,803.83 / $4,311.38	Facility		$657.62	$1,803.83	$4,311.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.40 / $382.34 / $1,472.60	Facility	54	$357.40	$382.34	$1,472.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.53 / $605.54 / $1,408.49	Professional		$476.53	$605.54	$1,408.49
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $877.78 / $2,408.00 / $7,161.00	Facility		$877.78	$2,408.00	$7,161.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,874.67 / $1,874.67 / $1,874.67	Facility	54	$1,874.67	$1,874.67	$1,874.67
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $536.03 / $1,036.02 / $4,012.32	Professional		$536.03	$1,036.02	$4,012.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.51 / $807.64 / $1,441.80	Facility		$628.51	$807.64	$1,441.80
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $439.96 / $565.35 / $932.72	Facility	54	$439.96	$565.35	$932.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.20 / $1,033.90 / $1,456.15	Professional		$596.20	$1,033.90	$1,456.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.51 / $923.18 / $1,560.80	Professional		$562.51	$923.18	$1,560.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $526.92 / $1,146.02 / $6,679.00	Facility		$526.92	$1,146.02	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $642.46 / $778.23 / $1,073.92	Professional		$642.46	$778.23	$1,073.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $652.49 / $1,300.59 / $1,723.02	Professional		$652.49	$1,300.59	$1,723.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $586.98 / $1,962.28	Facility		$211.25	$586.98	$1,962.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $808.48 / $1,318.20	Professional		$174.17	$808.48	$1,318.20
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,510.00 / $26,542.00	Facility		$1,106.00	$2,510.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,874.67 / $1,874.67 / $1,874.67	Facility	54	$1,874.67	$1,874.67	$1,874.67
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $625.14 / $1,197.23 / $4,012.32	Professional		$625.14	$1,197.23	$4,012.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,408.00 / $5,683.00	Facility		$1,106.00	$2,408.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.39 / $879.62 / $1,788.37	Professional		$590.39	$879.62	$1,788.37