Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.33 / $504.83 / $2,747.00	Facility		$266.33	$504.83	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $213.70 / $213.70 / $220.67	Facility	54	$213.70	$213.70	$220.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $328.42 / $772.49	Professional		$272.52	$328.42	$772.49
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 $1,149.69 / $1,149.69 / $1,149.69	Facility	54	$1,149.69	$1,149.69	$1,149.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $613.80 / $2,369.52	Professional		$311.49	$613.80	$2,369.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.42 / $493.98 / $881.86	Facility		$384.42	$493.98	$881.86
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $269.08 / $345.78 / $570.47	Facility	54	$269.08	$345.78	$570.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $633.36 / $865.04	Professional		$439.73	$633.36	$865.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.43 / $526.52 / $915.00	Professional		$332.43	$526.52	$915.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $320.73 / $700.96 / $6,679.00	Facility		$320.73	$700.96	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $462.16 / $637.96	Professional		$380.25	$462.16	$637.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $394.85 / $764.16 / $1,006.47	Professional		$394.85	$764.16	$1,006.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $571.54 / $718.54	Facility		$571.54	$571.54	$718.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $394.86 / $423.58 / $682.00	Professional		$394.86	$423.58	$682.00
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 $1,149.69 / $1,149.69 / $1,149.69	Facility	54	$1,149.69	$1,149.69	$1,149.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $663.71 / $2,369.52	Professional		$341.57	$663.71	$2,369.52
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 $328.78 / $513.57 / $1,032.57	Professional		$328.78	$513.57	$1,032.57