Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,693.00	Facility		$988.00	$2,094.00	$3,693.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,104.90 / $1,104.90 / $9,899.82	Facility	50	$1,104.90	$1,104.90	$9,899.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $493.35 / $1,311.52	Professional		$373.20	$493.35	$1,311.52
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,320.49 / $5,268.00 / $12,000.00	Facility		$1,320.49	$5,268.00	$12,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $481.47 / $990.68 / $4,021.76	Professional		$481.47	$990.68	$4,021.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.16 / $1,084.85 / $1,469.61	Professional		$1,012.16	$1,084.85	$1,469.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.43 / $1,162.33 / $2,106.63	Professional		$730.43	$1,162.33	$2,106.63
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $557.24 / $1,206.26 / $6,679.00	Facility		$557.24	$1,206.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $639.42 / $808.00 / $1,216.47	Professional		$639.42	$808.00	$1,216.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $692.22 / $1,380.56 / $2,135.16	Professional		$692.22	$1,380.56	$2,135.16
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,074.60 / $6,104.00 / $12,000.00	Facility		$2,074.60	$6,104.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $539.13 / $1,106.49 / $4,021.76	Professional		$539.13	$1,106.49	$4,021.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,410.96 / $11,802.33	Facility		$2,155.00	$5,410.96	$11,802.33
United Facility/Professional Professional Modifier Low / Median / High Price $501.08 / $830.18 / $1,624.72	Professional		$501.08	$830.18	$1,624.72