Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.50 / $8,452.50 / $11,199.90	Facility		$2,572.50	$8,452.50	$11,199.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,416.31 / $2,572.50 / $2,976.75	Professional		$2,416.31	$2,572.50	$2,976.75
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,042.50 / $9,374.95 / $13,427.35	Facility		$4,042.50	$9,374.95	$13,427.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $3,675.00 / $14,573.69	Professional		$2,205.00	$3,675.00	$14,573.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,412.64 / $2,627.63 / $8,360.62	Facility		$2,412.64	$2,627.63	$8,360.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,476.30 / $4,476.30 / $5,363.11	Professional		$4,476.30	$4,476.30	$5,363.11
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 $5,302.71 / $5,302.71 / $6,238.48	Professional		$5,302.71	$5,302.71	$6,238.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $10,253.25	Professional		$3,675.00	$3,675.00	$10,253.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $6,394.50 / $17,456.25 / $17,456.25	Facility		$6,394.50	$17,456.25	$17,456.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,205.00 / $18,301.50	Professional		$2,205.00	$2,205.00	$18,301.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,205.00 / $2,205.00 / $6,563.77	Professional		$2,205.00	$2,205.00	$6,563.77