Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.00 / $8,280.00 / $10,971.40	Facility		$2,520.00	$8,280.00	$10,971.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,367.00 / $2,520.00 / $2,916.00	Professional		$2,367.00	$2,520.00	$2,916.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $9,183.64 / $13,153.32	Facility		$3,960.00	$9,183.64	$13,153.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $3,600.00 / $14,276.27	Professional		$2,160.00	$3,600.00	$14,276.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,363.40 / $2,808.00 / $8,190.00	Facility		$2,363.40	$2,808.00	$8,190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $4,384.80 / $5,253.49	Professional		$2,800.00	$4,384.80	$5,253.49
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 $5,194.42 / $5,194.42 / $6,111.09	Professional		$5,194.42	$5,194.42	$6,111.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $11,148.84	Professional		$3,600.00	$3,600.00	$11,148.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $6,264.00 / $17,100.00 / $17,100.00	Facility		$6,264.00	$17,100.00	$17,100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $18,000.00	Professional		$2,160.00	$2,160.00	$18,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $7,572.56	Professional		$2,160.00	$2,160.00	$7,572.56