Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $7,360.00 / $9,752.32	Facility		$2,240.00	$7,360.00	$9,752.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $2,240.00 / $2,592.00	Professional		$2,104.00	$2,240.00	$2,592.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $8,163.23 / $11,691.84	Facility		$3,520.00	$8,163.23	$11,691.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $3,200.00 / $12,690.02	Professional		$1,920.00	$3,200.00	$12,690.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,100.80 / $2,496.00 / $7,280.00	Facility		$2,100.80	$2,496.00	$7,280.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $3,897.99 / $4,670.24	Professional		$3,897.99	$3,897.99	$4,670.24
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 $4,617.53 / $4,617.53 / $5,432.38	Professional		$4,617.53	$4,617.53	$5,432.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $6,645.76	Professional		$3,200.00	$3,200.00	$6,645.76
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $5,568.00 / $15,200.00 / $15,200.00	Facility		$5,568.00	$15,200.00	$15,200.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $1,920.00 / $15,936.00	Professional		$1,920.00	$1,920.00	$15,936.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $2,471.52 / $6,731.17	Professional		$1,920.00	$2,471.52	$6,731.17