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 $602.41 / $798.39 / $1,927.40	Professional		$602.41	$798.39	$1,927.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,876.22 / $5,978.48 / $26,542.00	Facility		$1,876.22	$5,978.48	$26,542.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $795.12 / $1,548.91 / $5,865.20	Professional		$795.12	$1,548.91	$5,865.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.10 / $1,748.08 / $3,171.87	Professional		$1,048.10	$1,748.08	$3,171.87
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $811.70 / $1,763.00 / $6,679.00	Facility		$811.70	$1,763.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $931.43 / $1,176.97 / $2,068.27	Professional		$931.43	$1,176.97	$2,068.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,000.65 / $1,995.70 / $2,659.73	Professional		$1,000.65	$1,995.70	$2,659.73
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $6,280.00 / $26,542.00	Facility		$2,324.00	$6,280.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $1,738.30 / $5,865.20	Professional		$971.76	$1,738.30	$5,865.20
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 $916.63 / $1,262.76 / $2,832.52	Professional		$916.63	$1,262.76	$2,832.52