Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.98 / $2,663.12 / $5,781.89	Facility		$1,120.98	$2,663.12	$5,781.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.97 / $1,402.46 / $3,935.12	Professional		$1,072.97	$1,402.46	$3,935.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,672.00 / $5,815.89 / $11,102.00	Facility		$1,672.00	$5,815.89	$11,102.00
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $6,576.94 / $6,576.94 / $6,576.94	Facility	62	$6,576.94	$6,576.94	$6,576.94
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,305.72 / $2,264.88 / $12,056.47	Professional		$1,305.72	$2,264.88	$12,056.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.79 / $2,208.85 / $5,417.88	Professional		$1,457.79	$2,208.85	$5,417.88
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.63 / $2,339.40 / $6,679.00	Facility		$1,480.63	$2,339.40	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.10 / $2,029.02 / $2,800.85	Professional		$1,636.10	$2,029.02	$2,800.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,856.72 / $3,513.10 / $5,020.51	Professional		$1,856.72	$3,513.10	$5,020.51
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,012.19 / $4,012.19 / $11,550.75	Facility		$4,012.19	$4,012.19	$11,550.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,736.01 / $3,320.19 / $4,504.43	Professional		$1,736.01	$3,320.19	$4,504.43
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,404.00 / $26,542.00	Facility		$2,155.00	$6,404.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $6,576.94 / $6,576.94 / $6,576.94	Facility	62	$6,576.94	$6,576.94	$6,576.94
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,621.52 / $2,444.36 / $12,056.47	Professional		$1,621.52	$2,444.36	$12,056.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.08 / $2,051.21 / $3,898.87	Professional		$1,221.08	$2,051.21	$3,898.87