Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $2,955.00 / $7,203.00	Facility		$1,749.00	$2,955.00	$7,203.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $658.34 / $658.34 / $658.34	Facility	54	$658.34	$658.34	$658.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.80 / $1,017.00 / $1,392.04	Professional		$853.80	$1,017.00	$1,392.04
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $131.66 / $153.01 / $200.17	Professional	55	$131.66	$153.01	$200.17
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $956.86 / $4,639.43 / $12,850.00	Facility		$956.86	$4,639.43	$12,850.00
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $14,161.14 / $14,161.14 / $14,161.14	Facility	54	$14,161.14	$14,161.14	$14,161.14
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $733.94 / $1,275.14 / $3,243.97	Professional		$733.94	$1,275.14	$3,243.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.99 / $1,671.88 / $2,401.98	Professional		$1,190.99	$1,671.88	$2,401.98
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $238.20 / $334.38 / $444.30	Professional	55	$238.20	$334.38	$444.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,937.64 / $4,937.64 / $4,937.64	Facility		$4,937.64	$4,937.64	$4,937.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.59 / $1,507.02 / $2,735.23	Professional		$872.59	$1,507.02	$2,735.23
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,367.54 / $8,090.00	Facility		$300.00	$1,367.54	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $933.56 / $1,162.40 / $1,604.57	Professional		$933.56	$1,162.40	$1,604.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $2,076.67 / $8,679.52	Professional		$1,038.33	$2,076.67	$8,679.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,575.22 / $3,575.22 / $3,575.35	Facility		$3,575.22	$3,575.22	$3,575.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $957.02 / $1,167.46 / $1,226.64	Professional		$957.02	$1,167.46	$1,226.64
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,916.00 / $16,742.00	Facility		$55.00	$4,916.00	$16,742.00
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $14,161.14 / $14,161.14 / $14,161.14	Facility	54	$14,161.14	$14,161.14	$14,161.14
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $879.98 / $1,316.52 / $6,188.96	Professional		$879.98	$1,316.52	$6,188.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,063.00 / $10,764.00	Facility		$2,324.00	$5,063.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.20 / $1,348.19 / $2,772.67	Professional		$870.20	$1,348.19	$2,772.67