Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,039.00	Facility		$1,924.00	$2,747.00	$5,039.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.67 / $2,682.07 / $4,282.34	Professional		$1,926.67	$2,682.07	$4,282.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $6,749.04 / $16,726.16	Facility		$1,697.00	$6,749.04	$16,726.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,650.92 / $4,458.66 / $19,658.64	Professional		$2,650.92	$4,458.66	$19,658.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,759.29 / $4,213.72 / $7,861.40	Professional		$2,759.29	$4,213.72	$7,861.40
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $3,523.40 / $6,679.00	Facility		$1,909.00	$3,523.40	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3,110.08 / $3,767.33 / $5,124.01	Professional		$3,110.08	$3,767.33	$5,124.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,395.99 / $6,425.55 / $8,458.04	Professional		$3,395.99	$6,425.55	$8,458.04
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,904.00 / $22,966.83	Facility		$55.00	$5,904.00	$22,966.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,825.89 / $4,982.81 / $19,658.64	Professional		$2,825.89	$4,982.81	$19,658.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,017.00	Facility		$2,386.00	$5,904.00	$13,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,821.79 / $3,898.41 / $7,876.97	Professional		$2,821.79	$3,898.41	$7,876.97