Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.19 / $2,894.00 / $6,107.00	Facility		$1,883.19	$2,894.00	$6,107.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $710.00 / $710.00 / $710.00	Facility	54	$710.00	$710.00	$710.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.48 / $1,016.53 / $1,512.22	Professional		$793.48	$1,016.53	$1,512.22
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.35 / $3,728.00 / $11,879.05	Facility		$818.35	$3,728.00	$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 $606.35 / $1,287.47 / $3,539.72	Professional		$606.35	$1,287.47	$3,539.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.17 / $1,235.57 / $1,711.02	Professional		$880.17	$1,235.57	$1,711.02
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 $895.29 / $1,335.70 / $2,373.88	Professional		$895.29	$1,335.70	$2,373.88
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $620.29 / $1,347.52 / $6,679.00	Facility		$620.29	$1,347.52	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $685.43 / $859.04 / $1,185.82	Professional		$685.43	$859.04	$1,185.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $759.40 / $1,529.43 / $6,477.00	Professional		$759.40	$1,529.43	$6,477.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,916.00 / $12,850.00	Facility		$55.00	$4,916.00	$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 $911.96 / $1,507.66 / $4,714.27	Professional		$911.96	$1,507.66	$4,714.27
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 $911.96 / $1,356.89 / $2,051.84	Professional		$911.96	$1,356.89	$2,051.84