Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,039.00	Facility		$1,924.00	$2,747.00	$5,039.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $574.66 / $574.66 / $574.66	Facility	54	$574.66	$574.66	$574.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.28 / $902.85 / $1,384.45	Professional		$664.28	$902.85	$1,384.45
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,764.00 / $9,039.00	Facility		$1,313.00	$3,764.00	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $731.89 / $1,125.61 / $5,956.48	Professional		$731.89	$1,125.61	$5,956.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,244.07 / $1,646.84 / $2,188.19	Professional		$1,244.07	$1,646.84	$2,188.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,593.42 / $1,593.42 / $1,593.42	Facility		$1,593.42	$1,593.42	$1,593.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.70 / $1,466.50 / $2,500.05	Professional		$763.70	$1,466.50	$2,500.05
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $823.29 / $1,796.06 / $6,679.00	Facility		$823.29	$1,796.06	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $909.74 / $1,144.99 / $1,580.53	Professional		$909.74	$1,144.99	$1,580.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,005.16 / $2,024.39 / $4,054.78	Professional		$1,005.16	$2,024.39	$4,054.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $1,154.70 / $1,154.70	Facility		$1,154.70	$1,154.70	$1,154.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,176.44 / $1,176.44 / $1,176.44	Professional		$1,176.44	$1,176.44	$1,176.44
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $4,249.00 / $26,542.00	Facility		$1,685.00	$4,249.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $779.60 / $1,131.35 / $5,956.48	Professional		$779.60	$1,131.35	$5,956.48
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 $775.53 / $1,033.48 / $2,342.54	Professional		$775.53	$1,033.48	$2,342.54