Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $988.00 / $2,747.00	Facility		$242.85	$988.00	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $149.85 / $149.85 / $170.24	Facility	54	$149.85	$149.85	$170.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $238.88 / $574.32	Professional		$199.80	$238.88	$574.32
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $730.12 / $2,713.00	Facility		$308.00	$730.12	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $794.31 / $794.31 / $794.31	Facility	54	$794.31	$794.31	$794.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $224.91 / $460.99 / $1,798.24	Professional		$224.91	$460.99	$1,798.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.07 / $340.61 / $608.07	Facility		$265.07	$340.61	$608.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $451.90 / $588.85	Professional		$315.70	$451.90	$588.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $395.46 / $689.52	Professional		$238.80	$395.46	$689.52
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $338.32 / $6,679.00	Facility		$214.32	$338.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $352.55 / $486.66	Professional		$288.99	$352.55	$486.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $549.38 / $709.11	Professional		$271.16	$549.38	$709.11
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 $264.20 / $264.20 / $264.20	Professional		$264.20	$264.20	$264.20
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,134.73 / $3,445.00	Facility		$55.00	$1,134.73	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $794.31 / $794.31 / $794.31	Facility	54	$794.31	$794.31	$794.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $498.21 / $1,798.24	Professional		$263.51	$498.21	$1,798.24
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 $252.43 / $389.11 / $791.15	Professional		$252.43	$389.11	$791.15