Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,268.00 / $7,452.00 / $9,874.21	Facility		$2,268.00	$7,452.00	$9,874.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.30 / $2,268.00 / $2,624.40	Professional		$2,130.30	$2,268.00	$2,624.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,564.00 / $7,523.28 / $15,390.00	Facility		$3,564.00	$7,523.28	$15,390.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $3,240.00 / $12,848.64	Professional		$1,944.00	$3,240.00	$12,848.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.23 / $2,387.00 / $4,173.08	Facility		$1,669.23	$2,387.00	$4,173.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.52 / $2,341.00 / $7,371.00	Facility		$2,084.52	$2,341.00	$7,371.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,946.15 / $3,946.15 / $4,727.93	Professional		$3,946.15	$3,946.15	$4,727.93
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 $4,675.41 / $4,675.41 / $5,500.48	Professional		$4,675.41	$4,675.41	$5,500.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $6,728.83	Professional		$3,240.00	$3,240.00	$6,728.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $5,637.60 / $15,390.00 / $15,390.00	Facility		$5,637.60	$15,390.00	$15,390.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $1,944.00 / $16,200.00	Professional		$1,944.00	$1,944.00	$16,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $1,944.00 / $5,786.83	Professional		$1,944.00	$1,944.00	$5,786.83