Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.13 / $1,823.00 / $3,685.00	Facility		$438.13	$1,823.00	$3,685.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.61 / $295.61 / $328.60	Facility	54	$295.61	$295.61	$328.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.14 / $471.20 / $947.05	Professional		$394.14	$471.20	$947.05
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.35 / $2,243.85 / $7,161.00	Facility		$818.35	$2,243.85	$7,161.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.70 / $1,570.70 / $1,570.70	Facility	54	$1,570.70	$1,570.70	$1,570.70
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $466.75 / $893.84 / $3,531.76	Professional		$466.75	$893.84	$3,531.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.63 / $676.72 / $1,208.08	Facility		$526.63	$676.72	$1,208.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.63 / $866.31 / $1,169.91	Professional		$526.63	$866.31	$1,169.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.06 / $773.39 / $1,351.03	Professional		$475.06	$773.39	$1,351.03
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $441.77 / $960.24 / $6,679.00	Facility		$441.77	$960.24	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $566.00 / $686.21 / $947.23	Professional		$566.00	$686.21	$947.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $547.23 / $1,117.99 / $1,490.42	Professional		$547.23	$1,117.99	$1,490.42
Health New England Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $571.54 / $2,631.21	Facility		$571.54	$571.54	$2,631.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $570.14 / $743.80 / $1,063.95	Professional		$570.14	$743.80	$1,063.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,243.85 / $12,000.00	Facility		$1,106.00	$2,243.85	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.70 / $1,570.70 / $1,570.70	Facility	54	$1,570.70	$1,570.70	$1,570.70
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $529.61 / $1,026.76 / $3,531.76	Professional		$529.61	$1,026.76	$3,531.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,408.00 / $5,683.00	Facility		$1,106.00	$2,408.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.44 / $765.30 / $1,541.52	Professional		$515.44	$765.30	$1,541.52