Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $685.00 / $2,747.00	Facility		$242.85	$685.00	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $146.56 / $146.56 / $157.82	Facility	54	$146.56	$146.56	$157.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $243.16 / $590.16	Professional		$182.59	$243.16	$590.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $141.79 / $162.56 / $356.77	Professional	54	$141.79	$162.56	$356.77
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 $777.35 / $777.35 / $777.35	Facility	54	$777.35	$777.35	$777.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $215.32 / $425.07 / $1,634.08	Professional		$215.32	$425.07	$1,634.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $332.69 / $593.91	Facility		$258.89	$332.69	$593.91
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $181.23 / $232.88 / $384.21	Facility	54	$181.23	$232.88	$384.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.68 / $432.83 / $575.15	Professional		$310.68	$432.83	$575.15
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $206.48 / $304.20 / $418.89	Professional	54	$206.48	$304.20	$418.89
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 $227.22 / $360.33 / $630.24	Professional		$227.22	$360.33	$630.24
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $330.46 / $6,679.00	Facility		$214.32	$330.46	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $262.12 / $319.70 / $441.32	Professional		$262.12	$319.70	$441.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $523.01 / $682.45	Professional		$263.37	$523.01	$682.45
Health New England Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $260.69 / $586.98	Facility		$137.00	$260.69	$586.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $218.51 / $343.18 / $716.96	Professional		$218.51	$343.18	$716.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,110.50 / $3,445.00	Facility		$55.00	$1,110.50	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $777.35 / $777.35 / $777.35	Facility	54	$777.35	$777.35	$777.35
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $240.88 / $460.29 / $1,634.08	Professional		$240.88	$460.29	$1,634.08
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 $236.82 / $351.05 / $679.33	Professional		$236.82	$351.05	$679.33