Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.42 / $1,950.61 / $3,625.00	Facility		$688.42	$1,950.61	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $455.48 / $455.48 / $516.32	Facility	54	$455.48	$455.48	$516.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.54 / $751.71 / $1,476.08	Professional		$600.54	$751.71	$1,476.08
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $455.48 / $563.78 / $817.37	Professional	54	$455.48	$563.78	$817.37
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $91.10 / $112.76 / $163.47	Professional	55	$91.10	$112.76	$163.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,052.06 / $8,498.00	Facility		$1,089.00	$2,052.06	$8,498.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $2,152.54 / $2,152.54 / $2,152.54	Facility	54	$2,152.54	$2,152.54	$2,152.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $528.42 / $946.63 / $4,370.96	Professional		$528.42	$946.63	$4,370.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.47 / $928.68 / $1,641.29	Facility		$715.47	$928.68	$1,641.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.12 / $1,266.85 / $1,718.56	Professional		$852.12	$1,266.85	$1,718.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $678.56 / $678.56 / $879.33	Professional	50	$678.56	$678.56	$879.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.80 / $650.80 / $650.80	Facility		$650.80	$650.80	$650.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $1,165.54 / $2,158.61	Professional		$599.91	$1,165.54	$2,158.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $600.91 / $1,304.58 / $6,679.00	Facility		$600.91	$1,304.58	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $764.49 / $962.50 / $1,328.62	Professional		$764.49	$962.50	$1,328.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $736.05 / $1,513.83 / $2,103.56	Professional		$736.05	$1,513.83	$2,103.56
Health New England Facility/Professional Facility Modifier Low / Median / High Price $512.25 / $512.25 / $512.25	Facility		$512.25	$512.25	$512.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $953.78 / $1,144.81 / $2,030.00	Professional		$953.78	$1,144.81	$2,030.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,672.00 / $12,000.00	Facility		$1,245.00	$3,672.00	$12,000.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $2,152.54 / $2,152.54 / $2,152.54	Facility	54	$2,152.54	$2,152.54	$2,152.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $678.73 / $1,064.50 / $5,003.20	Professional		$678.73	$1,064.50	$5,003.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,372.00 / $8,425.00	Facility		$1,245.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.34 / $902.66 / $2,068.36	Professional		$661.34	$902.66	$2,068.36