Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $517.42 / $2,747.00	Facility		$235.95	$517.42	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $130.69 / $141.16 / $444.43	Facility	54	$130.69	$141.16	$444.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $221.62 / $556.69	Professional		$165.89	$221.62	$556.69
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $127.33 / $149.40 / $344.59	Professional	54	$127.33	$149.40	$344.59
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $689.75 / $2,713.00	Facility		$308.00	$689.75	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $729.18 / $729.18 / $729.18	Facility	54	$729.18	$729.18	$729.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $389.89 / $1,532.48	Professional		$193.28	$389.89	$1,532.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.50 / $312.89 / $558.59	Facility		$243.50	$312.89	$558.59
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $170.45 / $219.03 / $361.35	Facility	54	$170.45	$219.03	$361.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $410.89 / $565.80	Professional		$289.77	$410.89	$565.80
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $201.34 / $287.62 / $396.06	Professional	54	$201.34	$287.62	$396.06
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 $208.50 / $340.70 / $570.54	Professional		$208.50	$340.70	$570.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $202.13 / $310.79 / $6,679.00	Facility		$202.13	$310.79	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $247.30 / $301.70 / $417.28	Professional		$247.30	$301.70	$417.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $247.81 / $494.59 / $638.58	Professional		$247.81	$494.59	$638.58
Health New England Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $374.78 / $586.98	Facility		$140.91	$374.78	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $248.76 / $326.77 / $528.00	Professional		$248.76	$326.77	$528.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,041.68 / $3,445.00	Facility		$55.00	$1,041.68	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $729.18 / $729.18 / $729.18	Facility	54	$729.18	$729.18	$729.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $214.48 / $407.75 / $1,532.48	Professional		$214.48	$407.75	$1,532.48
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 $204.27 / $302.52 / $637.09	Professional		$204.27	$302.52	$637.09