Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $1,656.00 / $2,194.27	Facility		$504.00	$1,656.00	$2,194.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $504.00 / $583.20	Professional		$473.40	$504.00	$583.20
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,671.84 / $3,420.00	Facility		$792.00	$1,671.84	$3,420.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $720.00 / $2,855.25	Professional		$432.00	$720.00	$2,855.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.23 / $520.22 / $1,638.00	Facility		$463.23	$520.22	$1,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.87 / $876.87 / $1,050.58	Professional		$876.87	$876.87	$1,050.58
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 $1,038.99 / $1,038.99 / $1,222.33	Professional		$1,038.99	$1,038.99	$1,222.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $2,229.77	Professional		$720.00	$720.00	$2,229.77
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,252.80 / $3,420.00 / $3,420.00	Facility		$1,252.80	$3,420.00	$3,420.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $3,600.00	Professional		$432.00	$432.00	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $1,372.37	Professional		$432.00	$432.00	$1,372.37