Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.70 / $517.41 / $2,747.00	Facility		$435.70	$517.41	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $196.40 / $196.40 / $209.54	Facility	54	$196.40	$196.40	$209.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $326.16 / $741.32	Professional		$246.85	$326.16	$741.32
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $189.53 / $227.96 / $502.44	Professional	54	$189.53	$227.96	$502.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $341.39 / $818.35 / $2,713.00	Facility		$341.39	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,105.40 / $1,105.40 / $1,105.40	Facility	54	$1,105.40	$1,105.40	$1,105.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.47 / $579.62 / $2,284.00	Professional		$263.47	$579.62	$2,284.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.92 / $474.06 / $846.30	Facility		$368.92	$474.06	$846.30
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $258.24 / $331.84 / $547.47	Facility	54	$258.24	$331.84	$547.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.38 / $616.76 / $843.30	Professional		$439.38	$616.76	$843.30
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $271.32 / $431.75 / $590.30	Professional	54	$271.32	$431.75	$590.30
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 $301.63 / $507.80 / $865.96	Professional		$301.63	$507.80	$865.96
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $470.88 / $6,679.00	Facility		$214.32	$470.88	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $368.51 / $449.60 / $621.95	Professional		$368.51	$449.60	$621.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $736.52 / $955.31	Professional		$374.78	$736.52	$955.31
Health New England Facility/Professional Facility Modifier Low / Median / High Price $222.63 / $245.31 / $556.52	Facility		$222.63	$245.31	$556.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $411.95 / $472.65 / $744.00	Professional		$411.95	$472.65	$744.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,579.14 / $3,445.00	Facility		$55.00	$1,579.14	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,105.40 / $1,105.40 / $1,105.40	Facility	54	$1,105.40	$1,105.40	$1,105.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $609.86 / $2,284.00	Professional		$303.05	$609.86	$2,284.00
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 $281.38 / $482.90 / $951.03	Professional		$281.38	$482.90	$951.03