Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $988.00 / $3,363.00	Facility		$511.50	$988.00	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $344.27 / $375.92 / $2,320.73	Facility	54	$344.27	$375.92	$2,320.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.03 / $537.41 / $1,244.00	Professional		$459.03	$537.41	$1,244.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.10 / $2,543.71 / $8,498.00	Facility		$941.10	$2,543.71	$8,498.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,780.60 / $1,780.60 / $1,780.60	Facility	54	$1,780.60	$1,780.60	$1,780.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $523.61 / $1,015.11 / $3,955.44	Professional		$523.61	$1,015.11	$3,955.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.39 / $767.65 / $1,370.41	Facility		$597.39	$767.65	$1,370.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.04 / $982.71 / $1,327.10	Professional		$613.04	$982.71	$1,327.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.65 / $867.28 / $1,541.33	Professional		$537.65	$867.28	$1,541.33
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $501.85 / $1,089.28 / $6,679.00	Facility		$501.85	$1,089.28	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $632.97 / $766.74 / $1,057.36	Professional		$632.97	$766.74	$1,057.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $622.59 / $1,260.22 / $1,695.97	Professional		$622.59	$1,260.22	$1,695.97
Health New England Facility/Professional Facility Modifier Low / Median / High Price $868.09 / $868.09 / $20,774.41	Facility		$868.09	$868.09	$20,774.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $629.34 / $985.22	Professional		$613.79	$629.34	$985.22
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $12,000.00	Facility		$1,640.00	$3,372.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,780.60 / $1,780.60 / $1,780.60	Facility	54	$1,780.60	$1,780.60	$1,780.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $594.88 / $1,154.63 / $3,955.44	Professional		$594.88	$1,154.63	$3,955.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,372.00 / $8,425.00	Facility		$1,640.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $862.84 / $1,795.67	Professional		$583.04	$862.84	$1,795.67