Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.45 / $2,547.00 / $3,625.00	Facility		$335.45	$2,547.00	$3,625.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $236.67 / $236.67 / $251.59	Facility	54	$236.67	$236.67	$251.59
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $47.33 / $47.33 / $50.32	Facility	55	$47.33	$47.33	$50.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $382.17 / $800.00	Professional		$289.27	$382.17	$800.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,425.00 / $2,167.50 / $2,308.50	Professional	50	$1,425.00	$2,167.50	$2,308.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $236.67 / $278.06 / $397.29	Professional	54	$236.67	$278.06	$397.29
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $47.33 / $55.61 / $79.45	Professional	55	$47.33	$55.61	$79.45
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $1,267.00 / $7,161.00	Facility		$746.20	$1,267.00	$7,161.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $1,117.09 / $1,117.09 / $1,117.09	Facility	54	$1,117.09	$1,117.09	$1,117.09
AllWays Health Partners Facility/Professional Facility Modifier 55 Low / Median / High Price $239.38 / $239.38 / $239.38	Facility	55	$239.38	$239.38	$239.38
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $255.33 / $470.51 / $2,245.28	Professional		$255.33	$470.51	$2,245.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.92 / $481.45 / $850.89	Facility		$370.92	$481.45	$850.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.76 / $641.84 / $867.06	Professional		$440.76	$641.84	$867.06
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $540.46 / $540.46 / $1,028.48	Professional	50	$540.46	$540.46	$1,028.48
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $330.78 / $457.44 / $619.71	Professional	54	$330.78	$457.44	$619.71
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $88.35 / $127.66 / $173.40	Professional	55	$88.35	$127.66	$173.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.47 / $386.47 / $386.47	Facility		$386.47	$386.47	$386.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.39 / $600.59 / $1,047.07	Professional		$287.39	$600.59	$1,047.07
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $310.10 / $676.32 / $6,679.00	Facility		$310.10	$676.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $367.31 / $463.25 / $639.46	Professional		$367.31	$463.25	$639.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.47 / $762.24 / $1,052.51	Professional		$378.47	$762.24	$1,052.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $266.74 / $286.27 / $3,863.50	Facility		$266.74	$286.27	$3,863.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $472.85 / $566.01	Professional		$356.22	$472.85	$566.01
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $2,078.00 / $16,394.00	Facility		$789.00	$2,078.00	$16,394.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $1,117.09 / $1,117.09 / $1,117.09	Facility	54	$1,117.09	$1,117.09	$1,117.09
Mass General Brigham Facility/Professional Facility Modifier 55 Low / Median / High Price $239.38 / $239.38 / $239.38	Facility	55	$239.38	$239.38	$239.38
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $330.65 / $514.89 / $2,400.40	Professional		$330.65	$514.89	$2,400.40
Tufts Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $345.26 / $657.59	Professional		$264.64	$345.26	$657.59
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 $320.92 / $435.20 / $1,000.35	Professional		$320.92	$435.20	$1,000.35