Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,623.41	Facility		$2,691.53	$3,630.78	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $8,709.64	Professional		$2,951.21	$3,467.37	$8,709.64
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $16,595.87	Facility		$1,995.26	$7,244.36	$16,595.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $23,442.29	Professional		$2,951.21	$4,897.79	$23,442.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $9,120.11	Professional		$3,162.28	$5,011.87	$9,120.11
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,168.69 / $7,079.46	Facility		$707.95	$4,168.69	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,754.40	Professional		$3,311.31	$4,168.69	$5,754.40
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $13,182.57	Facility		$2,511.89	$6,165.95	$13,182.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $8,128.31	Professional		$3,090.30	$5,495.41	$8,128.31
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $16,595.87	Facility		$1,995.26	$7,244.36	$16,595.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $23,442.29	Professional		$2,951.21	$4,897.79	$23,442.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,165.95 / $13,803.84	Facility		$1,949.84	$6,165.95	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $9,120.11	Professional		$3,235.94	$4,786.30	$9,120.11