Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.50 / $1,667.50 / $2,209.51	Facility		$507.50	$1,667.50	$2,209.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.69 / $507.50 / $587.25	Professional		$476.69	$507.50	$587.25
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,261.50 / $3,443.75 / $3,443.75	Facility		$1,261.50	$3,443.75	$3,443.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $435.00 / $3,610.50	Professional		$435.00	$435.00	$3,610.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.96 / $518.38 / $1,649.38	Facility		$475.96	$518.38	$1,649.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $883.00 / $1,057.94	Professional		$883.00	$883.00	$1,057.94
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 $1,045.98 / $1,045.98 / $1,230.56	Professional		$1,045.98	$1,045.98	$1,230.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $725.00 / $1,505.68	Professional		$725.00	$725.00	$1,505.68
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,102.35 / $3,102.35 / $3,102.35	Facility		$3,102.35	$3,102.35	$3,102.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,261.50 / $3,443.75 / $3,443.75	Facility		$1,261.50	$3,443.75	$3,443.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $435.00 / $3,610.50	Professional		$435.00	$435.00	$3,610.50
United Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $435.00 / $1,381.90	Professional		$435.00	$435.00	$1,381.90