Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.62 / $2,067.00 / $3,625.00	Facility		$358.62	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.89 / $267.89 / $268.97	Facility	54	$267.89	$267.89	$268.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.19 / $402.30 / $672.32	Professional		$357.19	$402.30	$672.32
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $970.84 / $3,445.00	Facility		$464.01	$970.84	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,414.06 / $1,414.06 / $1,414.06	Facility	54	$1,414.06	$1,414.06	$1,414.06
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $381.80 / $756.21 / $2,883.12	Professional		$381.80	$756.21	$2,883.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.23 / $609.39 / $1,087.88	Facility		$474.23	$609.39	$1,087.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.67 / $780.11 / $1,062.94	Professional		$507.67	$780.11	$1,062.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.47 / $660.09 / $1,119.38	Professional		$425.47	$660.09	$1,119.38
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $397.93 / $864.70 / $6,679.00	Facility		$397.93	$864.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $557.90 / $767.75	Professional		$460.57	$557.90	$767.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $493.16 / $934.83 / $1,238.45	Professional		$493.16	$934.83	$1,238.45
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 $1,414.06 / $1,414.06 / $1,414.06	Facility	54	$1,414.06	$1,414.06	$1,414.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $428.97 / $838.48 / $2,883.12	Professional		$428.97	$838.48	$2,883.12
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 $403.84 / $583.08 / $1,178.80	Professional		$403.84	$583.08	$1,178.80