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 $2,237.05 / $2,784.52 / $4,113.28	Professional		$2,237.05	$2,784.52	$4,113.28
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,591.00 / $6,298.89 / $13,773.00	Facility		$1,591.00	$6,298.89	$13,773.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,691.92 / $4,710.71 / $27,619.68	Professional		$2,691.92	$4,710.71	$27,619.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,684.96 / $4,587.02 / $7,418.10	Professional		$2,684.96	$4,587.02	$7,418.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $3,542.12 / $8,090.00	Facility		$300.00	$3,542.12	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,921.73 / $3,539.18 / $4,795.49	Professional		$2,921.73	$3,539.18	$4,795.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,176.04 / $6,009.39 / $7,910.25	Professional		$3,176.04	$6,009.39	$7,910.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,063.00 / $19,035.28	Facility		$55.00	$5,063.00	$19,035.28
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,970.64 / $4,820.72 / $27,619.68	Professional		$2,970.64	$4,820.72	$27,619.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,970.64 / $4,328.00 / $8,313.85	Professional		$2,970.64	$4,328.00	$8,313.85