Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $8,511.38	Facility		$2,691.53	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,348.96	Professional		$870.96	$1,096.48	$1,348.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $17,378.01	Facility		$2,691.53	$6,918.31	$17,378.01
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $7,943.28	Professional		$1,348.96	$2,041.74	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,000.00 / $13,489.63	Facility		$4,897.79	$10,000.00	$13,489.63
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Professional		$1,513.56	$1,513.56	$1,778.28
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $20,417.38	Facility		$2,691.53	$6,918.31	$20,417.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,090.30	Professional		$1,148.15	$1,659.59	$3,090.30
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,918.31 / $17,378.01	Facility		$3,311.31	$6,918.31	$17,378.01
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $7,943.28	Professional		$1,348.96	$2,041.74	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $33,884.42	Facility		$2,691.53	$7,244.36	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,548.13	Professional		$1,380.38	$1,905.46	$3,548.13