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 $1,057.52 / $1,166.63 / $1,867.40	Professional		$1,057.52	$1,166.63	$1,867.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,672.00 / $4,402.00 / $9,401.00	Facility		$1,672.00	$4,402.00	$9,401.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,220.06 / $2,099.48 / $8,474.08	Professional		$1,220.06	$2,099.48	$8,474.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.56 / $2,021.92 / $3,328.43	Professional		$1,216.56	$2,021.92	$3,328.43
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.79 / $1,923.30 / $6,679.00	Facility		$1,179.79	$1,923.30	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.81 / $1,639.91 / $2,256.67	Professional		$1,353.81	$1,639.91	$2,256.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,461.86 / $2,897.99 / $3,822.91	Professional		$1,461.86	$2,897.99	$3,822.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,367.12 / $4,367.12 / $4,367.12	Facility		$4,367.12	$4,367.12	$4,367.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,268.00 / $26,542.00	Facility		$2,155.00	$5,268.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,295.47 / $2,185.69 / $8,474.08	Professional		$1,295.47	$2,185.69	$8,474.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.47 / $1,906.12 / $3,822.91	Professional		$1,295.47	$1,906.12	$3,822.91