Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.15 / $5,773.48 / $7,650.12	Facility		$1,757.15	$5,773.48	$7,650.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,650.46 / $1,757.15 / $2,033.27	Professional		$1,650.46	$1,757.15	$2,033.27
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,367.77 / $11,923.50 / $11,923.50	Facility		$4,367.77	$11,923.50	$11,923.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,506.13 / $12,500.85	Professional		$1,506.13	$1,506.13	$12,500.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,647.96 / $1,794.80 / $5,710.74	Facility		$1,647.96	$1,794.80	$5,710.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,776.14 / $2,776.14 / $3,326.13	Professional		$2,776.14	$2,776.14	$3,326.13
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3,621.95 / $3,621.95 / $4,261.12	Professional		$3,621.95	$3,621.95	$4,261.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $5,213.20	Professional		$2,510.21	$2,510.21	$5,213.20
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $4,367.77 / $11,923.50 / $11,923.50	Facility		$4,367.77	$11,923.50	$11,923.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,506.13 / $12,500.85	Professional		$1,506.13	$1,506.13	$12,500.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,506.13 / $4,392.87	Professional		$1,506.13	$1,506.13	$4,392.87