Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.71 / $1,886.00 / $3,625.00	Facility		$141.71	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $90.73 / $90.73 / $106.28	Facility	54	$90.73	$90.73	$106.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $141.71 / $330.06	Professional		$118.55	$141.71	$330.06
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $627.00 / $2,713.00	Facility		$219.82	$627.00	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $476.87 / $476.87 / $476.87	Facility	54	$476.87	$476.87	$476.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $274.08 / $1,069.59	Professional		$132.63	$274.08	$1,069.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.75 / $203.99 / $364.17	Facility		$158.75	$203.99	$364.17
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $111.13 / $142.80 / $235.60	Facility	54	$111.13	$142.80	$235.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $273.20 / $394.02	Professional		$192.32	$273.20	$394.02
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 $140.05 / $235.96 / $415.98	Professional		$140.05	$235.96	$415.98
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $217.10 / $6,679.00	Facility		$134.47	$217.10	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $210.04 / $290.83	Professional		$172.16	$210.04	$290.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $331.71 / $434.67	Professional		$160.97	$331.71	$434.67
Health New England Facility/Professional Facility Modifier Low / Median / High Price $214.81 / $214.81 / $509.24	Facility		$214.81	$214.81	$509.24
Health New England Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $198.11 / $310.39	Professional		$159.96	$198.11	$310.39
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $476.87 / $476.87 / $476.87	Facility	54	$476.87	$476.87	$476.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $297.64 / $1,069.59	Professional		$154.22	$297.64	$1,069.59
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 $146.88 / $228.23 / $475.12	Professional		$146.88	$228.23	$475.12