Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $2,089.30 / $3,715.35	Facility		$141.25	$2,089.30	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $371.54	Professional		$120.23	$165.96	$371.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $512.86 / $3,467.37	Facility		$56.23	$512.86	$3,467.37
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $501.19	Professional		$114.82	$199.53	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $363.08	Facility		$158.49	$158.49	$363.08
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $112.20 / $112.20 / $251.19	Facility	54	$112.20	$112.20	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $389.05	Professional		$158.49	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $407.38	Professional		$128.82	$218.78	$407.38
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $234.42 / $7,079.46	Facility		$134.90	$234.42	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $316.23	Professional		$186.21	$229.09	$316.23
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $416.87	Professional		$158.49	$263.03	$416.87
Health New England Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Facility		$213.80	$213.80	$512.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $512.86 / $3,467.37	Facility		$56.23	$512.86	$3,467.37
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $501.19	Professional		$117.49	$199.53	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,819.70 / $2,818.38	Facility		$501.19	$1,819.70	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $426.58	Professional		$131.83	$204.17	$426.58