Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $522.79 / $2,747.00	Facility		$242.85	$522.79	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.39 / $224.39 / $246.12	Facility	54	$224.39	$224.39	$246.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $351.39 / $835.82	Professional		$292.25	$351.39	$835.82
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 $1,216.95 / $1,216.95 / $1,216.95	Facility	54	$1,216.95	$1,216.95	$1,216.95
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $336.09 / $669.72 / $2,614.23	Professional		$336.09	$669.72	$2,614.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.81 / $522.75 / $933.22	Facility		$406.81	$522.75	$933.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.07 / $667.13 / $903.73	Professional		$410.07	$667.13	$903.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $577.48 / $996.18	Professional		$360.14	$577.48	$996.18
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $339.01 / $741.78 / $6,679.00	Facility		$339.01	$741.78	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $420.51 / $512.38 / $707.29	Professional		$420.51	$512.38	$707.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $416.97 / $827.52 / $1,080.36	Professional		$416.97	$827.52	$1,080.36
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 $1,216.95 / $1,216.95 / $1,216.95	Facility	54	$1,216.95	$1,216.95	$1,216.95
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $378.02 / $734.42 / $2,614.23	Professional		$378.02	$734.42	$2,614.23
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 $372.78 / $574.14 / $1,141.45	Professional		$372.78	$574.14	$1,141.45