Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $3,294.02 / $7,190.00	Facility		$2,575.00	$3,294.02	$7,190.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $680.80 / $680.80 / $680.80	Facility	54	$680.80	$680.80	$680.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $1,025.22 / $1,464.37	Professional		$782.64	$1,025.22	$1,464.37
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $136.16 / $154.44 / $217.50	Professional	55	$136.16	$154.44	$217.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $3,997.00 / $9,039.00	Facility		$1,313.00	$3,997.00	$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 $777.26 / $1,268.68 / $6,516.24	Professional		$777.26	$1,268.68	$6,516.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.29 / $1,767.60 / $2,348.66	Professional		$1,335.29	$1,767.60	$2,348.66
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 $829.58 / $1,593.30 / $2,929.86	Professional		$829.58	$1,593.30	$2,929.86
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $891.51 / $1,909.00 / $6,679.00	Facility		$891.51	$1,909.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $985.12 / $1,228.95 / $1,696.43	Professional		$985.12	$1,228.95	$1,696.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,094.45 / $2,204.21 / $4,054.78	Professional		$1,094.45	$2,204.21	$4,054.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,180.31 / $1,180.31 / $1,180.31	Facility		$1,180.31	$1,180.31	$1,180.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $850.98 / $1,201.66 / $1,666.43	Professional		$850.98	$1,201.66	$1,666.43
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 $914.72 / $1,291.83 / $6,516.24	Professional		$914.72	$1,291.83	$6,516.24
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 $874.79 / $1,175.97 / $2,488.83	Professional		$874.79	$1,175.97	$2,488.83