Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $1,758.00 / $3,398.55	Facility		$441.00	$1,758.00	$3,398.55
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.21 / $212.21 / $237.42	Facility	54	$212.21	$212.21	$237.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.94 / $345.12 / $875.67	Professional		$282.94	$345.12	$875.67
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $357.94 / $818.35 / $2,713.00	Facility		$357.94	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,143.44 / $1,143.44 / $1,143.44	Facility	54	$1,143.44	$1,143.44	$1,143.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $660.73 / $2,573.60	Professional		$335.51	$660.73	$2,573.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.64 / $491.69 / $877.78	Facility		$382.64	$491.69	$877.78
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $267.85 / $344.19 / $567.84	Facility	54	$267.85	$344.19	$567.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.59 / $639.70 / $850.03	Professional		$402.59	$639.70	$850.03
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 $349.66 / $563.90 / $979.30	Professional		$349.66	$563.90	$979.30
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $319.80 / $697.70 / $6,679.00	Facility		$319.80	$697.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $413.44 / $503.04 / $694.39	Professional		$413.44	$503.04	$694.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $394.44 / $794.40 / $1,022.45	Professional		$394.44	$794.40	$1,022.45
Health New England Facility/Professional Facility Modifier Low / Median / High Price $306.10 / $341.39 / $586.98	Facility		$306.10	$341.39	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $450.26 / $585.01	Professional		$229.00	$450.26	$585.01
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,633.48 / $3,445.00	Facility		$55.00	$1,633.48	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,143.44 / $1,143.44 / $1,143.44	Facility	54	$1,143.44	$1,143.44	$1,143.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $373.99 / $726.58 / $2,573.60	Professional		$373.99	$726.58	$2,573.60
United Facility/Professional Facility Modifier Low / Median / High Price $338.98 / $1,078.00 / $2,733.00	Facility		$338.98	$1,078.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.36 / $543.77 / $1,064.84	Professional		$367.36	$543.77	$1,064.84