Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $3,111.85 / $8,272.00	Facility		$2,663.12	$3,111.85	$8,272.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $884.67 / $884.67 / $884.67	Facility	54	$884.67	$884.67	$884.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.84 / $1,291.61 / $3,087.04	Professional		$1,067.84	$1,291.61	$3,087.04
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,939.00 / $4,751.20 / $11,879.05	Facility		$1,939.00	$4,751.20	$11,879.05
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $7,881.75 / $7,881.75 / $7,881.75	Facility	54	$7,881.75	$7,881.75	$7,881.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $997.11 / $1,614.17 / $8,060.01	Professional		$997.11	$1,614.17	$8,060.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.40 / $2,310.62 / $3,070.00	Professional		$1,745.40	$2,310.62	$3,070.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,748.18 / $2,748.18 / $2,748.18	Facility		$2,748.18	$2,748.18	$2,748.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.34 / $2,082.65 / $3,803.15	Professional		$1,085.34	$2,082.65	$3,803.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.79 / $1,909.00 / $6,679.00	Facility		$1,167.79	$1,909.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.41 / $1,606.40 / $2,217.46	Professional		$1,290.41	$1,606.40	$2,217.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,435.65 / $2,891.40 / $7,600.85	Professional		$1,435.65	$2,891.40	$7,600.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,167.79 / $2,035.69 / $8,845.39	Facility		$1,167.79	$2,035.69	$8,845.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,658.77 / $1,704.99 / $1,923.41	Professional		$1,658.77	$1,704.99	$1,923.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,063.00 / $12,850.00	Facility		$2,324.00	$5,063.00	$12,850.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $7,881.75 / $7,881.75 / $7,881.75	Facility	54	$7,881.75	$7,881.75	$7,881.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,154.47 / $1,685.72 / $8,555.36	Professional		$1,154.47	$1,685.72	$8,555.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,063.00 / $10,764.00	Facility		$2,324.00	$5,063.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.31 / $1,683.21 / $3,613.53	Professional		$1,149.31	$1,683.21	$3,613.53