Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $320.58 / $320.58 / $320.58	Facility	54	$320.58	$320.58	$320.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.56 / $458.88 / $804.12	Professional		$422.56	$458.88	$804.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,856.00 / $4,448.09	Facility		$736.00	$1,856.00	$4,448.09
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $856.06 / $856.06 / $3,154.80	Facility	54	$856.06	$856.06	$3,154.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $478.95 / $797.55 / $3,446.80	Professional		$478.95	$797.55	$3,446.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.78 / $938.24 / $1,270.99	Professional		$632.78	$938.24	$1,270.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.22 / $749.56 / $1,338.45	Professional		$477.22	$749.56	$1,338.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $479.85 / $1,043.22 / $6,679.00	Facility		$479.85	$1,043.22	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $550.63 / $666.99 / $918.03	Professional		$550.63	$666.99	$918.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $594.33 / $1,163.70 / $1,539.25	Professional		$594.33	$1,163.70	$1,539.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,217.00 / $12,000.00	Facility		$627.00	$2,217.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $856.06 / $856.06 / $3,154.80	Facility	54	$856.06	$856.06	$3,154.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $506.66 / $871.20 / $3,446.80	Professional		$506.66	$871.20	$3,446.80
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 $493.58 / $743.72 / $1,621.69	Professional		$493.58	$743.72	$1,621.69