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 $425.47 / $462.32 / $796.18	Professional		$425.47	$462.32	$796.18
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,206.03 / $3,883.04	Facility		$736.00	$1,206.03	$3,883.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $462.90 / $812.52 / $3,486.40	Professional		$462.90	$812.52	$3,486.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $761.30 / $1,354.18	Professional		$487.04	$761.30	$1,354.18
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $486.43 / $1,059.56 / $6,679.00	Facility		$486.43	$1,059.56	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $558.17 / $676.14 / $932.41	Professional		$558.17	$676.14	$932.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $1,141.42 / $1,514.48	Professional		$601.70	$1,141.42	$1,514.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,941.55 / $2,941.55 / $7,440.94	Facility		$2,941.55	$2,941.55	$7,440.94
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $2,217.00 / $26,542.00	Facility		$627.00	$2,217.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $491.52 / $886.64 / $3,486.40	Professional		$491.52	$886.64	$3,486.40
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.29 / $812.52 / $1,527.11	Professional		$489.29	$812.52	$1,527.11