Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.30 / $538.20 / $2,900.00	Facility		$273.30	$538.20	$2,900.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $195.38 / $195.38 / $216.02	Facility	54	$195.38	$195.38	$216.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.29 / $308.83 / $736.95	Professional		$256.29	$308.83	$736.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $336.91 / $818.35 / $2,713.00	Facility		$336.91	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,085.28 / $1,085.28 / $1,085.28	Facility	54	$1,085.28	$1,085.28	$1,085.28
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $594.29 / $2,332.16	Professional		$288.01	$594.29	$2,332.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $465.75 / $831.46	Facility		$362.45	$465.75	$831.46
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $253.72 / $326.02 / $537.89	Facility	54	$253.72	$326.02	$537.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.81 / $605.87 / $805.18	Professional		$418.81	$605.87	$805.18
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 $315.95 / $516.29 / $881.57	Professional		$315.95	$516.29	$881.57
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $462.63 / $6,679.00	Facility		$214.32	$462.63	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $375.78 / $458.47 / $633.37	Professional		$375.78	$458.47	$633.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $737.67 / $954.14	Professional		$369.87	$737.67	$954.14
Health New England Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $260.69 / $451.26	Facility		$196.75	$260.69	$451.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $479.27 / $479.27	Professional		$453.00	$479.27	$479.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.40 / $3,445.00	Facility		$55.00	$1,550.40	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,085.28 / $1,085.28 / $1,085.28	Facility	54	$1,085.28	$1,085.28	$1,085.28
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $325.79 / $631.59 / $2,332.16	Professional		$325.79	$631.59	$2,332.16
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 $317.50 / $497.27 / $968.73	Professional		$317.50	$497.27	$968.73