Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.74 / $1,886.00 / $3,625.00	Facility		$290.74	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $196.60 / $196.60 / $218.06	Facility	54	$196.60	$196.60	$218.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $311.88 / $787.29	Professional		$261.02	$311.88	$787.29
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 $1,083.52 / $1,083.52 / $1,083.52	Facility	54	$1,083.52	$1,083.52	$1,083.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $287.99 / $593.74 / $2,335.44	Professional		$287.99	$593.74	$2,335.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.02 / $465.20 / $830.47	Facility		$362.02	$465.20	$830.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.14 / $595.52 / $833.63	Professional		$395.14	$595.52	$833.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $517.67 / $885.44	Professional		$316.25	$517.67	$885.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $301.16 / $660.10 / $6,679.00	Facility		$301.16	$660.10	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $376.30 / $459.10 / $634.04	Professional		$376.30	$459.10	$634.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $737.67 / $954.14	Professional		$369.87	$737.67	$954.14
Health New England Facility/Professional Facility Modifier Low / Median / High Price $419.38 / $419.38 / $484.49	Facility		$419.38	$419.38	$484.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $360.06 / $360.06	Professional		$360.06	$360.06	$360.06
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 $1,083.52 / $1,083.52 / $1,083.52	Facility	54	$1,083.52	$1,083.52	$1,083.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $335.32 / $633.01 / $2,335.44	Professional		$335.32	$633.01	$2,335.44
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 $328.17 / $499.43 / $1,011.87	Professional		$328.17	$499.43	$1,011.87