Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.69 / $644.54 / $3,363.00	Facility		$236.69	$644.54	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.52 / $193.07 / $466.07	Facility	54	$177.52	$193.07	$466.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $279.35 / $545.30	Professional		$226.94	$279.35	$545.30
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $309.42 / $818.35 / $2,713.00	Facility		$309.42	$818.35	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $987.92 / $987.92 / $987.92	Facility	54	$987.92	$987.92	$987.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $539.64 / $2,184.96	Professional		$263.61	$539.64	$2,184.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.94 / $425.26 / $759.18	Facility		$330.94	$425.26	$759.18
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $241.16 / $297.68 / $491.12	Facility	54	$241.16	$297.68	$491.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $559.19 / $772.55	Professional		$397.13	$559.19	$772.55
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 $287.80 / $472.36 / $810.07	Professional		$287.80	$472.36	$810.07
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $422.41 / $6,679.00	Facility		$214.32	$422.41	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $350.57 / $425.67 / $587.59	Professional		$350.57	$425.67	$587.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $342.43 / $689.65 / $882.49	Professional		$342.43	$689.65	$882.49
Health New England Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $339.15 / $586.98	Facility		$249.71	$339.15	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $443.27 / $513.36	Professional		$345.84	$443.27	$513.36
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,411.32 / $3,445.00	Facility		$55.00	$1,411.32	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $987.92 / $987.92 / $987.92	Facility	54	$987.92	$987.92	$987.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $306.18 / $571.08 / $2,184.96	Professional		$306.18	$571.08	$2,184.96
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 $291.60 / $455.91 / $899.12	Professional		$291.60	$455.91	$899.12