Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $1,919.00 / $3,469.00	Facility		$340.97	$1,919.00	$3,469.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $755.99 / $755.99 / $755.99	Facility	50	$755.99	$755.99	$755.99
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.02 / $237.89 / $255.73	Facility	54	$223.02	$237.89	$255.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.12 / $340.97 / $725.00	Professional		$277.12	$340.97	$725.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.82 / $1,046.26 / $2,233.42	Professional	50	$501.82	$1,046.26	$2,233.42
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $207.84 / $250.56 / $433.60	Professional	54	$207.84	$250.56	$433.60
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $39.95 / $49.69 / $58.63	Professional	55	$39.95	$49.69	$58.63
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $457.66 / $1,106.00 / $3,472.00	Facility		$457.66	$1,106.00	$3,472.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $720.56 / $720.56 / $720.56	Facility	54	$720.56	$720.56	$720.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $185.99 / $404.22 / $3,680.00	Professional		$185.99	$404.22	$3,680.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.67 / $311.08 / $549.79	Facility		$239.67	$311.08	$549.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $430.16 / $601.79	Professional		$302.70	$430.16	$601.79
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $540.46 / $540.46 / $1,012.23	Professional	50	$540.46	$540.46	$1,012.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.48 / $171.48 / $171.48	Facility		$171.48	$171.48	$171.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $433.63 / $758.40	Professional		$265.64	$433.63	$758.40
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $202.77 / $305.89 / $6,679.00	Facility		$202.77	$305.89	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $336.84 / $464.97	Professional		$268.80	$336.84	$464.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $519.50 / $791.50	Professional		$249.45	$519.50	$791.50
Health New England Facility/Professional Facility Modifier Low / Median / High Price $127.02 / $127.02 / $132.16	Facility		$127.02	$127.02	$132.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $346.35 / $519.52	Professional		$287.56	$346.35	$519.52
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,600.00 / $7,161.00	Facility		$55.00	$1,600.00	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $720.56 / $720.56 / $720.56	Facility	54	$720.56	$720.56	$720.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $479.79 / $4,509.17	Professional		$268.30	$479.79	$4,509.17
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,078.00 / $5,683.00	Facility		$700.00	$2,078.00	$5,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.43 / $423.52 / $807.46	Professional		$261.43	$423.52	$807.46