Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.27 / $1,823.00 / $3,625.00	Facility		$395.27	$1,823.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $268.83 / $296.45 / $1,068.57	Facility	54	$268.83	$296.45	$1,068.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.44 / $421.15 / $734.49	Professional		$358.44	$421.15	$734.49
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $975.57 / $3,445.00	Facility		$464.01	$975.57	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,422.04 / $1,422.04 / $1,422.04	Facility	54	$1,422.04	$1,422.04	$1,422.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $418.37 / $812.13 / $3,173.36	Professional		$418.37	$812.13	$3,173.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.24 / $611.97 / $1,092.49	Facility		$476.24	$611.97	$1,092.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.03 / $812.48 / $1,155.35	Professional		$531.03	$812.48	$1,155.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.90 / $698.84 / $1,224.83	Professional		$430.90	$698.84	$1,224.83
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $398.98 / $868.38 / $6,679.00	Facility		$398.98	$868.38	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $617.27 / $852.07	Professional		$508.63	$617.27	$852.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $493.16 / $993.22 / $1,278.26	Professional		$493.16	$993.22	$1,278.26
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,671.10 / $1,671.10 / $1,671.10	Facility		$1,671.10	$1,671.10	$1,671.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $496.31 / $496.31 / $634.59	Professional		$496.31	$496.31	$634.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,031.48 / $12,000.00	Facility		$627.00	$2,031.48	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,422.04 / $1,422.04 / $1,422.04	Facility	54	$1,422.04	$1,422.04	$1,422.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $470.32 / $921.41 / $3,173.36	Professional		$470.32	$921.41	$3,173.36
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 $461.94 / $700.47 / $1,385.75	Professional		$461.94	$700.47	$1,385.75