Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $6,025.60	Facility		$1,122.02	$3,090.30	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $7,762.47	Professional		$1,148.15	$1,905.46	$7,762.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $45,708.82	Facility		$2,398.83	$5,754.40	$45,708.82
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	62	$6,918.31	$6,918.31	$6,918.31
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $10,471.29	Professional		$1,174.90	$1,995.26	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $4,073.80	Professional		$1,412.54	$2,041.74	$4,073.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $7,079.46	Facility		$575.44	$2,238.72	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,630.27	Professional		$1,412.54	$1,862.09	$2,630.27
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $11,220.18	Facility		$2,137.96	$5,248.07	$11,220.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,981.07	Professional		$1,412.54	$2,511.89	$3,981.07
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $11,481.54 / $11,481.54	Facility		$3,981.07	$11,481.54	$11,481.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,754.40 / $45,708.82	Facility		$3,019.95	$5,754.40	$45,708.82
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	62	$6,918.31	$6,918.31	$6,918.31
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $12,022.64	Professional		$1,174.90	$2,041.74	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,248.07 / $11,220.18	Facility		$2,041.74	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $4,073.80	Professional		$1,318.26	$2,041.74	$4,073.80