Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.00 / $6,969.00 / $9,234.23	Facility		$2,121.00	$6,969.00	$9,234.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,992.23 / $2,121.00 / $2,454.30	Professional		$1,992.23	$2,121.00	$2,454.30
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,333.00 / $7,035.66 / $14,392.50	Facility		$3,333.00	$7,035.66	$14,392.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $3,030.00 / $12,015.86	Professional		$1,818.00	$3,030.00	$12,015.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $4,332.89 / $7,575.00	Facility		$3,030.00	$4,332.89	$7,575.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.74 / $2,166.44 / $6,893.25	Facility		$1,889.74	$2,166.44	$6,893.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,690.49 / $3,690.49 / $4,421.62	Professional		$3,690.49	$3,690.49	$4,421.62
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 $4,372.02 / $4,372.02 / $5,143.55	Professional		$4,372.02	$4,372.02	$5,143.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $8,453.70	Professional		$3,030.00	$3,030.00	$8,453.70
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $5,272.20 / $14,392.50 / $14,392.50	Facility		$5,272.20	$14,392.50	$14,392.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $1,818.00 / $15,150.00	Professional		$1,818.00	$1,818.00	$15,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $1,818.00 / $5,775.39	Professional		$1,818.00	$1,818.00	$5,775.39