Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.13 / $2,067.00 / $3,625.00	Facility		$318.13	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.85 / $212.85 / $238.60	Facility	54	$212.85	$212.85	$238.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $330.31 / $775.63	Professional		$283.80	$330.31	$775.63
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 $1,160.82 / $1,160.82 / $1,160.82	Facility	54	$1,160.82	$1,160.82	$1,160.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $319.69 / $643.67 / $2,531.76	Professional		$319.69	$643.67	$2,531.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.78 / $498.30 / $889.57	Facility		$387.78	$498.30	$889.57
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $271.45 / $348.81 / $575.47	Facility	54	$271.45	$348.81	$575.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.55 / $642.83 / $861.45	Professional		$428.55	$642.83	$861.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.20 / $556.16 / $963.20	Professional		$344.20	$556.16	$963.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $322.58 / $707.06 / $6,679.00	Facility		$322.58	$707.06	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $407.97 / $497.74 / $687.63	Professional		$407.97	$497.74	$687.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $793.30 / $1,023.67	Professional		$396.08	$793.30	$1,023.67
Health New England Facility/Professional Facility Modifier Low / Median / High Price $419.82 / $419.82 / $419.82	Facility		$419.82	$419.82	$419.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $395.70 / $395.70 / $426.25	Professional		$395.70	$395.70	$426.25
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 $1,160.82 / $1,160.82 / $1,160.82	Facility	54	$1,160.82	$1,160.82	$1,160.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $367.94 / $703.01 / $2,531.76	Professional		$367.94	$703.01	$2,531.76
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 $358.37 / $543.29 / $1,103.01	Professional		$358.37	$543.29	$1,103.01