Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $512.86 / $5,495.41	Facility		$213.80	$512.86	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $851.14	Professional		$269.15	$407.38	$851.14
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $446.68 / $758.58	Professional	54	$316.23	$446.68	$758.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $741.31 / $3,467.37	Facility		$56.23	$741.31	$3,467.37
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	54	$1,288.25	$1,288.25	$1,288.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $1,096.48	Professional		$239.88	$416.87	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $851.14	Facility		$371.54	$371.54	$851.14
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $257.04 / $257.04 / $588.84	Facility	54	$257.04	$257.04	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $870.96	Professional		$371.54	$588.84	$870.96
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $269.15 / $426.58 / $616.60	Professional	54	$269.15	$426.58	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $851.14	Professional		$275.42	$467.74	$851.14
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $489.78 / $7,079.46	Facility		$177.83	$489.78	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $630.96	Professional		$398.11	$489.78	$630.96
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $891.25	Professional		$354.81	$562.34	$891.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $245.47 / $316.23	Facility		$229.09	$245.47	$316.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $489.78	Professional		$302.00	$302.00	$489.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $741.31 / $3,467.37	Facility		$56.23	$741.31	$3,467.37
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	54	$1,288.25	$1,288.25	$1,288.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $1,096.48	Professional		$239.88	$416.87	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $2,818.38	Facility		$501.19	$1,819.70	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $912.01	Professional		$263.03	$436.52	$912.01