Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $2,955.00 / $7,203.00	Facility		$1,749.00	$2,955.00	$7,203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.85 / $2,197.62 / $3,475.62	Professional		$1,628.85	$2,197.62	$3,475.62
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,505.15 / $6,474.00 / $36,845.80	Facility		$2,505.15	$6,474.00	$36,845.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,973.43 / $3,757.72 / $16,408.43	Professional		$1,973.43	$3,757.72	$16,408.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,255.07 / $3,518.06 / $6,587.28	Professional		$2,255.07	$3,518.06	$6,587.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $3,410.92 / $8,090.00	Facility		$300.00	$3,410.92	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,605.01 / $3,155.52 / $4,308.83	Professional		$2,605.01	$3,155.52	$4,308.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,902.02 / $5,682.16 / $7,397.25	Professional		$2,902.02	$5,682.16	$7,397.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,238.00 / $20,362.00	Facility		$2,485.00	$6,238.00	$20,362.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,048.58 / $4,182.43 / $16,408.43	Professional		$2,048.58	$4,182.43	$16,408.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,474.00 / $13,737.00	Facility		$2,485.00	$6,474.00	$13,737.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,033.80 / $3,283.35 / $7,095.25	Professional		$2,033.80	$3,283.35	$7,095.25