Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.54 / $2,747.00 / $6,075.00	Facility		$667.54	$2,747.00	$6,075.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.92 / $360.92 / $500.66	Facility	54	$360.92	$360.92	$500.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.76 / $667.54 / $1,250.82	Professional		$477.76	$667.54	$1,250.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,073.67 / $3,271.74 / $9,039.00	Facility		$1,073.67	$3,271.74	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,708.32 / $1,708.32 / $1,708.32	Facility	54	$1,708.32	$1,708.32	$1,708.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $516.37 / $905.53 / $3,473.76	Professional		$516.37	$905.53	$3,473.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.91 / $738.30 / $1,302.81	Facility		$567.91	$738.30	$1,302.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $1,043.79 / $1,663.58	Professional		$740.00	$1,043.79	$1,663.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.32 / $1,346.32 / $1,346.32	Facility		$1,346.32	$1,346.32	$1,346.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.19 / $1,020.81 / $1,814.24	Professional		$498.19	$1,020.81	$1,814.24
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $477.27 / $1,035.54 / $6,679.00	Facility		$477.27	$1,035.54	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $735.59 / $931.17 / $1,285.38	Professional		$735.59	$931.17	$1,285.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $1,268.67 / $2,117.66	Professional		$584.91	$1,268.67	$2,117.66
Health New England Facility/Professional Facility Modifier Low / Median / High Price $997.27 / $3,863.50 / $5,737.42	Facility		$997.27	$3,863.50	$5,737.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $669.40 / $746.18 / $1,136.63	Professional		$669.40	$746.18	$1,136.63
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,764.00 / $26,542.00	Facility		$1,685.00	$3,764.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,708.32 / $1,708.32 / $1,708.32	Facility	54	$1,708.32	$1,708.32	$1,708.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $665.85 / $1,043.43 / $4,783.60	Professional		$665.85	$1,043.43	$4,783.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,715.00 / $8,766.00	Facility		$1,685.00	$3,715.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $900.33 / $2,014.73	Professional		$584.91	$900.33	$2,014.73