Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.91 / $2,067.00 / $3,625.00	Facility		$287.91	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $196.89 / $196.89 / $215.93	Facility	54	$196.89	$196.89	$215.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $313.64 / $712.49	Professional		$262.52	$313.64	$712.49
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $335.64 / $818.35 / $2,713.00	Facility		$335.64	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,079.36 / $1,079.36 / $1,079.36	Facility	54	$1,079.36	$1,079.36	$1,079.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $289.73 / $590.50 / $2,313.52	Professional		$289.73	$590.50	$2,313.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.91 / $463.77 / $827.93	Facility		$360.91	$463.77	$827.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $591.82 / $801.76	Professional		$382.93	$591.82	$801.76
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 $314.44 / $510.67 / $881.37	Professional		$314.44	$510.67	$881.37
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $460.66 / $6,679.00	Facility		$214.32	$460.66	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $372.04 / $453.10 / $625.45	Professional		$372.04	$453.10	$625.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $370.28 / $734.04 / $953.08	Professional		$370.28	$734.04	$953.08
Health New England Facility/Professional Facility Modifier Low / Median / High Price $235.87 / $235.87 / $235.87	Facility		$235.87	$235.87	$235.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $360.06 / $392.26	Professional		$360.06	$360.06	$392.26
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,541.95 / $3,445.00	Facility		$55.00	$1,541.95	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,079.36 / $1,079.36 / $1,079.36	Facility	54	$1,079.36	$1,079.36	$1,079.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $332.91 / $644.95 / $2,313.52	Professional		$332.91	$644.95	$2,313.52
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 $328.09 / $478.53 / $955.67	Professional		$328.09	$478.53	$955.67