Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.66 / $2,894.76 / $6,617.00	Facility		$1,971.66	$2,894.76	$6,617.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $594.60 / $594.60 / $594.60	Facility	54	$594.60	$594.60	$594.60
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $118.92 / $118.92 / $118.92	Facility	55	$118.92	$118.92	$118.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.39 / $1,119.52 / $2,685.54	Professional		$797.39	$1,119.52	$2,685.54
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $594.60 / $729.28 / $950.34	Professional	54	$594.60	$729.28	$950.34
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $118.92 / $150.76 / $190.07	Professional	55	$118.92	$150.76	$190.07
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 Facility Modifier 55 Low / Median / High Price $979.27 / $979.27 / $979.27	Facility	55	$979.27	$979.27	$979.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $657.69 / $1,230.18 / $6,925.00	Professional		$657.69	$1,230.18	$6,925.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.56 / $1,460.12 / $1,939.99	Professional		$1,112.56	$1,460.12	$1,939.99
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $772.07 / $1,022.09 / $1,358.00	Professional	54	$772.07	$1,022.09	$1,358.00
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $208.02 / $292.00 / $388.01	Professional	55	$208.02	$292.00	$388.01
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 $793.07 / $1,319.24 / $2,553.23	Professional		$793.07	$1,319.24	$2,553.23
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $736.76 / $1,592.32 / $7,315.92	Facility		$736.76	$1,592.32	$7,315.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,015.10 / $1,401.24	Professional		$814.12	$1,015.10	$1,401.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $904.81 / $1,822.29 / $4,054.78	Professional		$904.81	$1,822.29	$4,054.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,125.59 / $4,206.72 / $8,316.84	Facility		$1,125.59	$4,206.72	$8,316.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $991.11 / $1,076.76 / $1,377.24	Professional		$991.11	$1,076.76	$1,377.24
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 Facility Modifier 55 Low / Median / High Price $979.27 / $979.27 / $979.27	Facility	55	$979.27	$979.27	$979.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $803.36 / $1,294.50 / $6,925.00	Professional		$803.36	$1,294.50	$6,925.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $557.51 / $8,286.46 / $8,673.68	Facility		$557.51	$8,286.46	$8,673.68
Tufts Facility/Professional Professional Modifier Low / Median / High Price $752.08 / $924.71 / $1,428.65	Professional		$752.08	$924.71	$1,428.65
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 $722.69 / $1,114.61 / $2,173.32	Professional		$722.69	$1,114.61	$2,173.32