Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,733.00 / $4,712.00	Facility		$1,758.00	$2,733.00	$4,712.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.21 / $655.91 / $1,095.96	Professional		$506.21	$655.91	$1,095.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,517.93 / $5,572.00 / $11,102.00	Facility		$1,517.93	$5,572.00	$11,102.00
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 $557.21 / $1,019.25 / $4,896.16	Professional		$557.21	$1,019.25	$4,896.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.13 / $1,017.20 / $2,407.08	Professional		$716.13	$1,017.20	$2,407.08
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $676.83 / $1,465.72 / $6,679.00	Facility		$676.83	$1,465.72	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $747.90 / $934.40 / $1,289.83	Professional		$747.90	$934.40	$1,289.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $838.04 / $1,588.09 / $2,378.69	Professional		$838.04	$1,588.09	$2,378.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,951.51 / $1,951.51 / $1,951.51	Professional		$1,951.51	$1,951.51	$1,951.51
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,261.00 / $26,542.00	Facility		$2,155.00	$6,261.00	$26,542.00
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 $687.51 / $1,026.00 / $4,896.16	Professional		$687.51	$1,026.00	$4,896.16
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 $533.40 / $911.03 / $1,796.16	Professional		$533.40	$911.03	$1,796.16