Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.89 / $2,067.00 / $3,625.00	Facility		$304.89	$2,067.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.19 / $203.19 / $228.67	Facility	54	$203.19	$203.19	$228.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.92 / $321.43 / $724.95	Professional		$270.92	$321.43	$724.95
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 $1,111.58 / $1,111.58 / $1,111.58	Facility	54	$1,111.58	$1,111.58	$1,111.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $628.44 / $2,492.16	Professional		$305.64	$628.44	$2,492.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.63 / $477.54 / $852.52	Facility		$371.63	$477.54	$852.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.32 / $636.19 / $874.96	Professional		$421.32	$636.19	$874.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $533.97 / $941.56	Professional		$328.98	$533.97	$941.56
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $309.66 / $677.62 / $6,679.00	Facility		$309.66	$677.62	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $489.73 / $676.03	Professional		$401.41	$489.73	$676.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.93 / $767.19 / $990.96	Professional		$380.93	$767.19	$990.96
Health New England Facility/Professional Facility Modifier Low / Median / High Price $515.45 / $515.45 / $515.45	Facility		$515.45	$515.45	$515.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $410.21 / $410.21 / $410.21	Professional		$410.21	$410.21	$410.21
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 $1,111.58 / $1,111.58 / $1,111.58	Facility	54	$1,111.58	$1,111.58	$1,111.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $354.69 / $669.11 / $2,492.16	Professional		$354.69	$669.11	$2,492.16
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 $342.61 / $537.75 / $1,088.42	Professional		$342.61	$537.75	$1,088.42