Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $3,890.45	Facility		$1,380.38	$2,570.40	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $4,365.16	Professional		$2,344.23	$3,630.78	$4,365.16
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $10,715.19	Facility		$1,698.24	$3,630.78	$10,715.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $21,877.62	Professional		$3,890.45	$5,495.41	$21,877.62
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 $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,511.38	Facility		$1,698.24	$3,630.78	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $7,079.46	Professional		$2,691.53	$4,786.30	$7,079.46
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $10,715.19	Facility		$1,778.28	$3,630.78	$10,715.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $21,877.62	Professional		$3,890.45	$5,370.32	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $8,511.38	Facility		$1,621.81	$3,630.78	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $8,317.64	Professional		$3,388.44	$5,370.32	$8,317.64