Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $1,886.00 / $3,625.00	Facility		$111.20	$1,886.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $61.94 / $61.94 / $83.40	Facility	54	$61.94	$61.94	$83.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $502.00 / $2,713.00	Facility		$158.60	$502.00	$2,713.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $337.72 / $337.72 / $337.72	Facility	54	$337.72	$337.72	$337.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $145.49 / $259.73	Facility		$113.22	$145.49	$259.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $206.46 / $6,679.00	Facility		$97.30	$206.46	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $111.39 / $111.39	Facility		$111.39	$111.39	$111.39
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 $337.72 / $337.72 / $337.72	Facility	54	$337.72	$337.72	$337.72
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