Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,928.20 / $9,621.20 / $12,748.50	Facility		$2,928.20	$9,621.20	$12,748.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,750.41 / $2,928.20 / $3,388.34	Professional		$2,750.41	$2,928.20	$3,388.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,601.43 / $10,671.21 / $15,283.90	Facility		$4,601.43	$10,671.21	$15,283.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,509.88 / $4,183.13 / $16,588.75	Professional		$2,509.88	$4,183.13	$16,588.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,746.22 / $2,883.53 / $6,719.09	Facility		$2,746.22	$2,883.53	$6,719.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,095.32 / $5,095.32 / $6,104.77	Professional		$5,095.32	$5,095.32	$6,104.77
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 $6,035.98 / $6,035.98 / $7,101.15	Professional		$6,035.98	$6,035.98	$7,101.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,183.13 / $4,183.13 / $8,687.52	Professional		$4,183.13	$4,183.13	$8,687.52
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $7,278.65 / $19,869.87 / $19,869.87	Facility		$7,278.65	$19,869.87	$19,869.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,509.88 / $2,509.88 / $20,831.99	Professional		$2,509.88	$2,509.88	$20,831.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,509.88 / $2,509.88 / $16,588.75	Professional		$2,509.88	$2,509.88	$16,588.75