Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.67 / $1,886.00 / $3,625.00	Facility		$306.67	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $208.28 / $208.28 / $230.00	Facility	54	$208.28	$208.28	$230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $331.19 / $780.92	Professional		$273.85	$331.19	$780.92
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $947.00 / $3,445.00	Facility		$464.01	$947.00	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,141.60 / $1,141.60 / $1,141.60	Facility	54	$1,141.60	$1,141.60	$1,141.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $626.01 / $2,455.76	Professional		$311.14	$626.01	$2,455.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.56 / $490.30 / $875.30	Facility		$381.56	$490.30	$875.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.11 / $626.82 / $862.06	Professional		$415.11	$626.82	$862.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $543.84 / $930.37	Professional		$334.06	$543.84	$930.37
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $317.60 / $695.74 / $6,679.00	Facility		$317.60	$695.74	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $482.54 / $666.09	Professional		$395.55	$482.54	$666.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $390.35 / $777.79 / $1,007.63	Professional		$390.35	$777.79	$1,007.63
Health New England Facility/Professional Facility Modifier Low / Median / High Price $355.62 / $355.62 / $355.62	Facility		$355.62	$355.62	$355.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $394.89 / $430.22 / $953.56	Professional		$394.89	$430.22	$953.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $12,000.00	Facility		$627.00	$1,818.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,141.60 / $1,141.60 / $1,141.60	Facility	54	$1,141.60	$1,141.60	$1,141.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $355.36 / $679.83 / $2,455.76	Professional		$355.36	$679.83	$2,455.76
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 $333.83 / $518.27 / $1,069.70	Professional		$333.83	$518.27	$1,069.70