Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,473.20 / $3,363.00	Facility		$537.00	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $343.80 / $343.80 / $367.67	Facility	54	$343.80	$343.80	$367.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $522.36 / $859.42	Professional		$458.40	$522.36	$859.42
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $1,208.93 / $3,445.00	Facility		$464.01	$1,208.93	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,817.51 / $1,817.51 / $1,817.51	Facility	54	$1,817.51	$1,817.51	$1,817.51
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $513.74 / $997.89 / $3,884.72	Professional		$513.74	$997.89	$3,884.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.46 / $783.16 / $1,398.10	Facility		$609.46	$783.16	$1,398.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.29 / $1,029.80 / $1,407.31	Professional		$686.29	$1,029.80	$1,407.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.05 / $871.90 / $1,508.24	Professional		$533.05	$871.90	$1,508.24
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $511.39 / $1,111.28 / $6,679.00	Facility		$511.39	$1,111.28	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $621.47 / $752.81 / $1,037.91	Professional		$621.47	$752.81	$1,037.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $633.65 / $1,251.07 / $1,615.17	Professional		$633.65	$1,251.07	$1,615.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $842.06 / $842.06 / $842.06	Professional		$842.06	$842.06	$842.06
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 $1,817.51 / $1,817.51 / $1,817.51	Facility	54	$1,817.51	$1,817.51	$1,817.51
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $576.77 / $1,128.22 / $3,884.72	Professional		$576.77	$1,128.22	$3,884.72
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 $559.55 / $849.62 / $2,235.51	Professional		$559.55	$849.62	$2,235.51