Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.12 / $2,079.00 / $3,625.00	Facility		$484.12	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $333.59 / $333.59 / $363.09	Facility	54	$333.59	$333.59	$363.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $511.22 / $836.64	Professional		$442.47	$511.22	$836.64
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $1,162.38 / $3,445.00	Facility		$464.01	$1,162.38	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,733.89 / $1,733.89 / $1,733.89	Facility	54	$1,733.89	$1,733.89	$1,733.89
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $503.14 / $989.90 / $3,843.92	Professional		$503.14	$989.90	$3,843.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.94 / $747.79 / $1,334.97	Facility		$581.94	$747.79	$1,334.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.85 / $983.30 / $1,419.21	Professional		$638.85	$983.30	$1,419.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.74 / $843.93 / $1,492.94	Professional		$528.74	$843.93	$1,492.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $489.45 / $1,061.09 / $6,679.00	Facility		$489.45	$1,061.09	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $614.41 / $744.26 / $1,025.08	Professional		$614.41	$744.26	$1,025.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $607.85 / $1,215.70 / $1,576.68	Professional		$607.85	$1,215.70	$1,576.68
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 $1,733.89 / $1,733.89 / $1,733.89	Facility	54	$1,733.89	$1,733.89	$1,733.89
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $573.82 / $1,123.29 / $3,843.92	Professional		$573.82	$1,123.29	$3,843.92
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 $549.64 / $841.42 / $1,589.59	Professional		$549.64	$841.42	$1,589.59