Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.49 / $2,747.00 / $5,454.00	Facility		$876.49	$2,747.00	$5,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.49 / $1,069.08 / $2,966.16	Professional		$876.49	$1,069.08	$2,966.16
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $941.10 / $3,005.62 / $7,231.00	Facility		$941.10	$3,005.62	$7,231.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,043.30 / $2,379.86 / $8,672.40	Professional		$1,043.30	$2,379.86	$8,672.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.86 / $2,509.40 / $4,548.03	Professional		$1,724.86	$2,509.40	$4,548.03
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,909.00 / $8,090.00	Facility		$300.00	$1,909.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.18 / $1,746.54 / $2,699.56	Professional		$1,382.18	$1,746.54	$2,699.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,515.52 / $3,004.37 / $3,814.56	Professional		$1,515.52	$3,004.37	$3,814.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $3,414.00 / $15,983.10	Facility		$953.00	$3,414.00	$15,983.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,221.58 / $2,444.48 / $8,672.40	Professional		$1,221.58	$2,444.48	$8,672.40
United Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $3,325.00 / $4,662.00	Facility		$953.00	$3,325.00	$4,662.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.86 / $1,783.82 / $3,516.98	Professional		$1,159.86	$1,783.82	$3,516.98