Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $4,466.84	Facility		$501.19	$2,238.72	$4,466.84
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	54	$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,445.44	Professional		$457.09	$588.84	$1,445.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $19,498.45	Facility		$1,096.48	$3,162.28	$19,498.45
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $1,862.09	Professional		$457.09	$758.58	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,348.96	Facility		$602.56	$602.56	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,412.54	Professional		$602.56	$1,000.00	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,479.11	Professional		$501.19	$812.83	$1,479.11
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $7,079.46	Facility		$380.19	$1,096.48	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,148.15	Professional		$691.83	$870.96	$1,148.15
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,511.38	Facility		$1,698.24	$3,630.78	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,584.89	Professional		$602.56	$977.24	$1,584.89
Health New England Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $20,892.96	Facility		$870.96	$870.96	$20,892.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,162.28 / $19,498.45	Facility		$1,122.02	$3,162.28	$19,498.45
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $1,862.09	Professional		$457.09	$758.58	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $8,511.38	Facility		$1,584.89	$3,630.78	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,621.81	Professional		$524.81	$794.33	$1,621.81