Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,187.76 / $3,801.89	Facility		$158.49	$2,187.76	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $436.52	Professional		$138.04	$181.97	$436.52
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $512.86 / $2,818.38	Facility		$56.23	$512.86	$2,818.38
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $588.84	Professional		$134.90	$229.09	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $407.38	Facility		$181.97	$181.97	$407.38
BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $125.89 / $125.89 / $288.40	Facility	54	$125.89	$125.89	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $407.38	Professional		$181.97	$302.00	$407.38
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 $147.91 / $251.19 / $446.68	Professional		$147.91	$251.19	$446.68
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $7,079.46	Facility		$147.91	$257.04	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $346.74	Professional		$204.17	$251.19	$346.74
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 $173.78 / $288.40 / $457.09	Professional		$173.78	$288.40	$457.09
Health New England Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $213.80	Facility		$123.03	$186.21	$213.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $165.96	Professional		$128.82	$128.82	$165.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $512.86 / $2,818.38	Facility		$56.23	$512.86	$2,818.38
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $588.84	Professional		$134.90	$229.09	$588.84
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 $154.88 / $234.42 / $467.74	Professional		$154.88	$234.42	$467.74