Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.60 / $988.00 / $2,900.00	Facility		$429.60	$988.00	$2,900.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.14 / $202.14 / $225.47	Facility	54	$202.14	$202.14	$225.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $348.73 / $820.62	Professional		$269.25	$348.73	$820.62
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 $1,081.52 / $1,081.52 / $1,081.52	Facility	54	$1,081.52	$1,081.52	$1,081.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $305.12 / $604.35 / $2,355.92	Professional		$305.12	$604.35	$2,355.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.19 / $464.13 / $828.57	Facility		$361.19	$464.13	$828.57
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $252.83 / $324.89 / $536.00	Facility	54	$252.83	$324.89	$536.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $607.20 / $802.38	Professional		$433.43	$607.20	$802.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $519.92 / $906.08	Professional		$319.77	$519.92	$906.08
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $301.07 / $658.58 / $6,679.00	Facility		$301.07	$658.58	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $378.55 / $461.32 / $636.79	Professional		$378.55	$461.32	$636.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $742.10 / $959.48	Professional		$369.87	$742.10	$959.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $304.45 / $526.75 / $725.79	Facility		$304.45	$526.75	$725.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $676.00 / $1,036.25	Professional		$376.02	$676.00	$1,036.25
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 $1,081.52 / $1,081.52 / $1,081.52	Facility	54	$1,081.52	$1,081.52	$1,081.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $346.12 / $670.75 / $2,355.92	Professional		$346.12	$670.75	$2,355.92
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 $337.23 / $499.59 / $1,041.55	Professional		$337.23	$499.59	$1,041.55