Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.20 / $1,886.00 / $3,625.00	Facility		$238.20	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $162.29 / $162.29 / $178.65	Facility	54	$162.29	$162.29	$178.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.63 / $254.24 / $709.11	Professional		$213.63	$254.24	$709.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $464.01 / $824.72 / $3,445.00	Facility		$464.01	$824.72	$3,445.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $868.62 / $868.62 / $868.62	Facility	54	$868.62	$868.62	$868.62
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $482.23 / $1,857.36	Professional		$245.13	$482.23	$1,857.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.63 / $372.17 / $664.41	Facility		$289.63	$372.17	$664.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.98 / $484.15 / $643.41	Professional		$329.98	$484.15	$643.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.66 / $411.63 / $713.58	Professional		$258.66	$411.63	$713.58
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $245.89 / $528.10 / $6,679.00	Facility		$245.89	$528.10	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $298.29 / $363.82 / $502.22	Professional		$298.29	$363.82	$502.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $295.32 / $588.99 / $763.79	Professional		$295.32	$588.99	$763.79
Health New England Facility/Professional Facility Modifier Low / Median / High Price $265.88 / $265.88 / $265.88	Facility		$265.88	$265.88	$265.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $299.73 / $299.73 / $364.54	Professional		$299.73	$299.73	$364.54
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 $868.62 / $868.62 / $868.62	Facility	54	$868.62	$868.62	$868.62
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $274.87 / $533.62 / $1,857.36	Professional		$274.87	$533.62	$1,857.36
United Facility/Professional Facility Modifier Low / Median / High Price $338.98 / $1,078.00 / $2,733.00	Facility		$338.98	$1,078.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.46 / $402.67 / $888.34	Professional		$251.46	$402.67	$888.34