Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,125.12 / $6,107.00	Facility		$1,525.00	$3,125.12	$6,107.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,035.35 / $2,035.35 / $2,035.35	Facility	50	$2,035.35	$2,035.35	$2,035.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.11 / $128.11 / $128.11	Facility	53	$128.11	$128.11	$128.11
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $480.42 / $480.42 / $480.42	Facility	54	$480.42	$480.42	$480.42
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $96.08 / $96.08 / $96.08	Facility	55	$96.08	$96.08	$96.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.74 / $789.17 / $2,300.00	Professional		$612.74	$789.17	$2,300.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $320.27 / $379.25 / $510.78	Professional	52	$320.27	$379.25	$510.78
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $480.42 / $568.88 / $1,251.28	Professional	54	$480.42	$568.88	$1,251.28
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $87.36 / $113.78 / $153.22	Professional	55	$87.36	$113.78	$153.22
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,216.81 / $3,764.00 / $9,039.00	Facility		$1,216.81	$3,764.00	$9,039.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $1,305.69 / $1,305.69 / $1,305.69	Facility	53	$1,305.69	$1,305.69	$1,305.69
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 $494.82 / $899.44 / $6,276.56	Professional		$494.82	$899.44	$6,276.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.69 / $1,073.51 / $1,418.85	Professional		$813.69	$1,073.51	$1,418.85
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,004.11 / $2,004.11 / $2,088.23	Professional	50	$2,004.11	$2,004.11	$2,088.23
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $564.66 / $747.47 / $993.19	Professional	54	$564.66	$747.47	$993.19
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $152.13 / $213.56 / $283.77	Professional	55	$152.13	$213.56	$283.77
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 $640.00 / $979.63 / $2,012.30	Professional		$640.00	$979.63	$2,012.30
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $538.40 / $1,164.58 / $7,218.72	Facility		$538.40	$1,164.58	$7,218.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $594.92 / $742.42 / $1,024.83	Professional		$594.92	$742.42	$1,024.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $660.68 / $1,330.61 / $4,054.78	Professional		$660.68	$1,330.61	$4,054.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,326.08 / $2,882.81 / $8,530.71	Facility		$1,326.08	$2,882.81	$8,530.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $764.71 / $867.20 / $1,700.00	Professional		$764.71	$867.20	$1,700.00
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 53 Low / Median / High Price $1,305.69 / $1,305.69 / $1,305.69	Facility	53	$1,305.69	$1,305.69	$1,305.69
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 $585.46 / $973.93 / $6,276.56	Professional		$585.46	$973.93	$6,276.56
Tufts Facility/Professional Facility Modifier Low / Median / High Price $291.37 / $1,393.42 / $4,311.85	Facility		$291.37	$1,393.42	$4,311.85
Tufts Facility/Professional Professional Modifier Low / Median / High Price $549.91 / $696.50 / $1,121.67	Professional		$549.91	$696.50	$1,121.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,997.00 / $9,039.00	Facility		$1,685.00	$3,997.00	$9,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $891.27 / $1,771.15	Professional		$543.04	$891.27	$1,771.15