Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.25 / $2,094.00 / $3,685.00	Facility		$822.25	$2,094.00	$3,685.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $565.84 / $565.84 / $565.84	Facility	54	$565.84	$565.84	$565.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $891.07 / $1,960.39	Professional		$636.28	$891.07	$1,960.39
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $113.17 / $133.66 / $187.55	Professional	55	$113.17	$133.66	$187.55
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,560.46 / $3,997.00 / $11,879.05	Facility		$1,560.46	$3,997.00	$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 $723.07 / $1,109.72 / $5,899.52	Professional		$723.07	$1,109.72	$5,899.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.95 / $975.58 / $1,947.26	Professional		$341.95	$975.58	$1,947.26
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 $751.90 / $1,432.71 / $2,464.05	Professional		$751.90	$1,432.71	$2,464.05
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $815.37 / $1,778.86 / $6,679.00	Facility		$815.37	$1,778.86	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $900.98 / $1,134.02 / $1,565.40	Professional		$900.98	$1,134.02	$1,565.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $995.33 / $2,004.59 / $7,273.23	Professional		$995.33	$2,004.59	$7,273.23
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,994.70 / $1,994.70 / $2,035.69	Facility		$1,994.70	$1,994.70	$2,035.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,285.90 / $1,318.53	Professional		$1,000.00	$1,285.90	$1,318.53
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $4,441.20 / $12,000.00	Facility		$1,685.00	$4,441.20	$12,000.00
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 $782.61 / $1,117.09 / $5,899.52	Professional		$782.61	$1,117.09	$5,899.52
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 $737.01 / $1,070.10 / $2,418.44	Professional		$737.01	$1,070.10	$2,418.44