Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.64 / $1,886.00 / $3,363.00	Facility		$399.64	$1,886.00	$3,363.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $799.28 / $799.28 / $979.13	Facility	50	$799.28	$799.28	$979.13
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.61 / $177.61 / $226.10	Facility	54	$177.61	$177.61	$226.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.18 / $352.69 / $637.50	Professional		$247.18	$352.69	$637.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.37 / $1,683.40 / $2,704.50	Professional	50	$481.37	$1,683.40	$2,704.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $177.61 / $244.88 / $356.64	Professional	54	$177.61	$244.88	$356.64
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $35.52 / $48.98 / $71.33	Professional	55	$35.52	$48.98	$71.33
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $530.40 / $1,106.00 / $3,472.00	Facility		$530.40	$1,106.00	$3,472.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $836.14 / $836.14 / $836.14	Facility	54	$836.14	$836.14	$836.14
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $446.05 / $1,171.16	Professional		$229.12	$446.05	$1,171.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.89 / $360.70 / $637.48	Facility		$277.89	$360.70	$637.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $511.10 / $772.77	Professional		$377.10	$511.10	$772.77
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.50 / $162.50 / $540.46	Professional	50	$162.50	$162.50	$540.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.84 / $236.84 / $236.84	Facility		$236.84	$236.84	$236.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $492.85 / $896.15	Professional		$299.52	$492.85	$896.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $354.69 / $6,679.00	Facility		$214.32	$354.69	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $412.87 / $569.91	Professional		$327.20	$412.87	$569.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $286.31 / $599.13 / $943.68	Professional		$286.31	$599.13	$943.68
Health New England Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $175.44 / $175.44	Facility		$175.44	$175.44	$175.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $423.10 / $634.66	Professional		$356.67	$423.10	$634.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,869.28 / $7,161.00	Facility		$55.00	$1,869.28	$7,161.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $836.14 / $836.14 / $836.14	Facility	54	$836.14	$836.14	$836.14
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $538.96 / $2,831.00	Professional		$321.72	$538.96	$2,831.00
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 $320.64 / $478.55 / $860.64	Professional		$320.64	$478.55	$860.64