Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.05 / $1,473.20 / $3,363.00	Facility		$452.05	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.95 / $300.95 / $339.04	Facility	54	$300.95	$300.95	$339.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $483.94 / $1,084.84	Professional		$401.27	$483.94	$1,084.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.35 / $2,298.71 / $7,161.00	Facility		$818.35	$2,298.71	$7,161.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,609.10 / $1,609.10 / $1,609.10	Facility	54	$1,609.10	$1,609.10	$1,609.10
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $484.15 / $925.85 / $3,668.56	Professional		$484.15	$925.85	$3,668.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.87 / $693.73 / $1,238.46	Facility		$539.87	$693.73	$1,238.46
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $377.91 / $485.61 / $801.17	Facility	54	$377.91	$485.61	$801.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.87 / $902.13 / $1,271.08	Professional		$539.87	$902.13	$1,271.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.16 / $801.87 / $1,401.32	Professional		$489.16	$801.87	$1,401.32
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $984.40 / $6,679.00	Facility		$453.60	$984.40	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $587.45 / $711.60 / $982.12	Professional		$587.45	$711.60	$982.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $1,154.28 / $1,530.84	Professional		$562.79	$1,154.28	$1,530.84
Health New England Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $571.54 / $571.54	Facility		$571.54	$571.54	$571.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $607.08 / $656.17 / $907.86	Professional		$607.08	$656.17	$907.86
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,298.71 / $12,000.00	Facility		$1,106.00	$2,298.71	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,609.10 / $1,609.10 / $1,609.10	Facility	54	$1,609.10	$1,609.10	$1,609.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $550.15 / $1,059.54 / $3,668.56	Professional		$550.15	$1,059.54	$3,668.56
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 $530.45 / $793.90 / $1,507.51	Professional		$530.45	$793.90	$1,507.51