Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $3,294.02 / $7,203.00	Facility		$1,749.00	$3,294.02	$7,203.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $140.66 / $140.66 / $140.66	Facility	53	$140.66	$140.66	$140.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $527.53 / $527.53 / $527.53	Facility	54	$527.53	$527.53	$527.53
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $105.51 / $105.51 / $105.51	Facility	55	$105.51	$105.51	$105.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.63 / $820.18 / $1,553.00	Professional		$670.63	$820.18	$1,553.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $105.51 / $122.27 / $160.08	Professional	55	$105.51	$122.27	$160.08
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.10 / $4,006.00 / $12,850.00	Facility		$941.10	$4,006.00	$12,850.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $4,042.62 / $4,042.62 / $4,042.62	Facility	53	$4,042.62	$4,042.62	$4,042.62
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $14,149.17 / $14,149.17 / $14,149.17	Facility	54	$14,149.17	$14,149.17	$14,149.17
AllWays Health Partners Facility/Professional Facility Modifier 55 Low / Median / High Price $3,031.96 / $3,031.96 / $3,031.96	Facility	55	$3,031.96	$3,031.96	$3,031.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $1,024.33 / $2,598.34	Professional		$588.25	$1,024.33	$2,598.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.24 / $1,343.84 / $1,930.56	Professional		$957.24	$1,343.84	$1,930.56
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $191.45 / $268.74 / $357.11	Professional	55	$191.45	$268.74	$357.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,933.47 / $4,933.47 / $4,933.47	Facility		$4,933.47	$4,933.47	$4,933.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $1,211.25 / $2,184.92	Professional		$698.47	$1,211.25	$2,184.92
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,099.14 / $8,090.00	Facility		$300.00	$1,099.14	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $748.60 / $934.27 / $1,289.66	Professional		$748.60	$934.27	$1,289.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $831.49 / $1,662.98 / $8,679.52	Professional		$831.49	$1,662.98	$8,679.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,654.43 / $3,654.43 / $3,654.43	Facility		$3,654.43	$3,654.43	$3,654.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $960.87 / $1,062.67	Professional		$192.52	$960.87	$1,062.67
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 53 Low / Median / High Price $4,042.62 / $4,042.62 / $4,042.62	Facility	53	$4,042.62	$4,042.62	$4,042.62
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $14,149.17 / $14,149.17 / $14,149.17	Facility	54	$14,149.17	$14,149.17	$14,149.17
Mass General Brigham Facility/Professional Facility Modifier 55 Low / Median / High Price $3,031.96 / $3,031.96 / $3,031.96	Facility	55	$3,031.96	$3,031.96	$3,031.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $704.27 / $1,053.65 / $4,949.35	Professional		$704.27	$1,053.65	$4,949.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.00 / $5,097.00 / $12,850.00	Facility		$2,365.00	$5,097.00	$12,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.79 / $1,025.85 / $2,129.02	Professional		$724.79	$1,025.85	$2,129.02