Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.61 / $2,079.00 / $3,625.00	Facility		$316.61	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.93 / $214.93 / $237.46	Facility	54	$214.93	$214.93	$237.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $328.11 / $804.64	Professional		$278.48	$328.11	$804.64
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 $1,166.88 / $1,166.88 / $1,166.88	Facility	54	$1,166.88	$1,166.88	$1,166.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $324.44 / $641.37 / $2,518.71	Professional		$324.44	$641.37	$2,518.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.76 / $500.84 / $894.11	Facility		$389.76	$500.84	$894.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.99 / $639.16 / $865.85	Professional		$394.99	$639.16	$865.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $556.25 / $961.44	Professional		$341.00	$556.25	$961.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $324.73 / $710.68 / $6,679.00	Facility		$324.73	$710.68	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $404.93 / $493.54 / $681.28	Professional		$404.93	$493.54	$681.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $795.67 / $1,029.02	Professional		$398.95	$795.67	$1,029.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $515.45 / $571.54 / $789.71	Facility		$515.45	$571.54	$789.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $335.23 / $484.98 / $538.36	Professional		$335.23	$484.98	$538.36
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 $1,166.88 / $1,166.88 / $1,166.88	Facility	54	$1,166.88	$1,166.88	$1,166.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $364.73 / $707.20 / $2,518.71	Professional		$364.73	$707.20	$2,518.71
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 $354.27 / $538.00 / $1,042.17	Professional		$354.27	$538.00	$1,042.17