Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.25 / $425.00 / $3,363.00	Facility		$174.25	$425.00	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $130.41 / $130.41 / $130.69	Facility	54	$130.41	$130.41	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $206.62 / $519.44	Professional		$157.91	$206.62	$519.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $692.78 / $2,733.00	Facility		$308.00	$692.78	$2,733.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $359.03 / $359.03 / $725.42	Facility	54	$359.03	$359.03	$725.42
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $365.80 / $1,434.32	Professional		$183.59	$365.80	$1,434.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $315.20 / $562.70	Facility		$245.29	$315.20	$562.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.67 / $402.23 / $538.30	Professional		$278.67	$402.23	$538.30
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 $198.04 / $321.36 / $567.90	Professional		$198.04	$321.36	$567.90
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $203.70 / $313.08 / $6,679.00	Facility		$203.70	$313.08	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $281.67 / $388.82	Professional		$230.99	$281.67	$388.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $246.99 / $472.76 / $622.29	Professional		$246.99	$472.76	$622.29
Health New England Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.68 / $586.98	Facility		$144.54	$204.68	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $281.50 / $458.57	Professional		$251.52	$281.50	$458.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,930.50	Facility		$55.00	$1,078.00	$3,930.50
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $359.03 / $359.03 / $725.42	Facility	54	$359.03	$359.03	$725.42
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $379.45 / $1,451.04	Professional		$202.48	$379.45	$1,451.04
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 $187.52 / $300.87 / $592.16	Professional		$187.52	$300.87	$592.16