Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $1,473.20 / $3,363.00	Facility		$119.71	$1,473.20	$3,363.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $87.37 / $89.78 / $302.87	Facility	54	$87.37	$89.78	$302.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $130.35 / $324.42	Professional		$104.62	$130.35	$324.42
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $79.61 / $90.92 / $237.70	Professional	54	$79.61	$90.92	$237.70
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $212.96 / $516.02 / $2,713.00	Facility		$212.96	$516.02	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $229.42 / $229.42 / $402.69	Facility	54	$229.42	$229.42	$402.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $212.96 / $913.28	Professional		$116.59	$212.96	$913.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $203.94 / $351.76	Facility		$159.63	$203.94	$351.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $251.46 / $333.62	Professional		$182.47	$251.46	$333.62
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $122.29 / $176.02 / $233.54	Professional	54	$122.29	$176.02	$233.54
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 $123.53 / $235.97 / $358.62	Professional		$123.53	$235.97	$358.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $214.32 / $6,679.00	Facility		$130.01	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $178.25 / $246.05	Professional		$146.26	$178.25	$246.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.65 / $310.43 / $407.04	Professional		$155.65	$310.43	$407.04
Health New England Facility/Professional Facility Modifier Low / Median / High Price $222.03 / $345.35 / $571.54	Facility		$222.03	$345.35	$571.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $219.16 / $392.83	Professional		$140.80	$219.16	$392.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,445.00	Facility		$55.00	$1,078.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $229.42 / $229.42 / $402.69	Facility	54	$229.42	$229.42	$402.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $233.73 / $913.28	Professional		$127.51	$233.73	$913.28
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 $125.23 / $197.30 / $391.77	Professional		$125.23	$197.30	$391.77