Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.02 / $2,079.00 / $3,625.00	Facility		$207.02	$2,079.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $137.30 / $137.30 / $155.27	Facility	54	$137.30	$137.30	$155.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $219.30 / $507.90	Professional		$183.06	$219.30	$507.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $684.30 / $2,713.00	Facility		$308.00	$684.30	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $722.13 / $722.13 / $722.13	Facility	54	$722.13	$722.13	$722.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $207.45 / $418.22 / $1,669.19	Professional		$207.45	$418.22	$1,669.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.64 / $309.22 / $552.03	Facility		$240.64	$309.22	$552.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $414.14 / $580.85	Professional		$288.77	$414.14	$580.85
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 $214.08 / $349.76 / $610.91	Professional		$214.08	$349.76	$610.91
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $200.63 / $307.14 / $6,679.00	Facility		$200.63	$307.14	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $310.33 / $428.38	Professional		$254.64	$310.33	$428.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $498.01 / $642.69	Professional		$245.76	$498.01	$642.69
Health New England Facility/Professional Facility Modifier Low / Median / High Price $226.84 / $226.84 / $586.98	Facility		$226.84	$226.84	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $259.42 / $259.42 / $290.93	Professional		$259.42	$259.42	$290.93
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,031.60 / $3,445.00	Facility		$55.00	$1,031.60	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $722.13 / $722.13 / $722.13	Facility	54	$722.13	$722.13	$722.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $461.09 / $1,669.19	Professional		$237.66	$461.09	$1,669.19
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 $232.83 / $346.12 / $657.70	Professional		$232.83	$346.12	$657.70