Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,449.42 / $5,019.04 / $14,732.18	Facility		$2,449.42	$5,019.04	$14,732.18
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $929.45 / $929.45 / $929.45	Facility	54	$929.45	$929.45	$929.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.91 / $1,595.65 / $3,930.30	Professional		$1,171.91	$1,595.65	$3,930.30
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $229.94 / $440.28 / $624.10	Professional	AS	$229.94	$440.28	$624.10
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,096.16 / $6,898.00 / $27,633.45	Facility		$2,096.16	$6,898.00	$27,633.45
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $2,273.19 / $2,273.19 / $35,560.28	Facility	54	$2,273.19	$2,273.19	$35,560.28
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $2,029.64 / $2,029.64 / $31,750.25	Facility	62	$2,029.64	$2,029.64	$31,750.25
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $324.74 / $324.74 / $5,080.04	Facility	AS	$324.74	$324.74	$5,080.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,365.08 / $2,375.65 / $13,550.61	Professional		$1,365.08	$2,375.65	$13,550.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,502.63 / $2,464.01 / $3,338.09	Professional		$1,502.63	$2,464.01	$3,338.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,633.41 / $20,683.62 / $20,683.62	Facility		$20,633.41	$20,683.62	$20,683.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.52 / $2,278.23 / $3,814.69	Professional		$1,388.52	$2,278.23	$3,814.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,012.87 / $8,090.00	Facility		$300.00	$2,012.87	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.88 / $1,770.82 / $2,411.11	Professional		$1,461.88	$1,770.82	$2,411.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,594.57 / $3,122.17 / $4,064.56	Professional		$1,594.57	$3,122.17	$4,064.56
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,863.50 / $10,591.15 / $27,330.02	Facility		$3,863.50	$10,591.15	$27,330.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $217.33 / $1,966.84 / $3,854.42	Professional		$217.33	$1,966.84	$3,854.42
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $7,454.00 / $25,000.00	Facility		$2,485.00	$7,454.00	$25,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $2,273.19 / $2,273.19 / $35,560.28	Facility	54	$2,273.19	$2,273.19	$35,560.28
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $2,029.64 / $2,029.64 / $31,750.25	Facility	62	$2,029.64	$2,029.64	$31,750.25
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $324.74 / $324.74 / $5,080.04	Facility	AS	$324.74	$324.74	$5,080.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,487.54 / $2,511.19 / $13,550.61	Professional		$1,487.54	$2,511.19	$13,550.61
Tufts Facility/Professional Facility Modifier Low / Median / High Price $3,599.24 / $13,908.93 / $19,329.32	Facility		$3,599.24	$13,908.93	$19,329.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,898.00 / $24,484.00	Facility		$2,485.00	$6,898.00	$24,484.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.82 / $2,164.73 / $3,971.44	Professional		$1,485.82	$2,164.73	$3,971.44