Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.48 / $2,747.00 / $5,454.00	Facility		$1,030.48	$2,747.00	$5,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.48 / $1,356.05 / $3,334.94	Professional		$1,030.48	$1,356.05	$3,334.94
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,133.94 / $7,231.00	Facility		$789.00	$3,133.94	$7,231.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,354.36 / $2,677.54 / $9,848.32	Professional		$1,354.36	$2,677.54	$9,848.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,710.98 / $2,536.92 / $3,436.66	Professional		$1,710.98	$2,536.92	$3,436.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.96 / $2,742.74 / $4,957.45	Professional		$1,676.96	$2,742.74	$4,957.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $2,088.35 / $8,090.00	Facility		$300.00	$2,088.35	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.70 / $1,904.03 / $3,426.61	Professional		$1,516.70	$1,904.03	$3,426.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,676.08 / $3,322.66 / $4,218.68	Professional		$1,676.08	$3,322.66	$4,218.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $5,934.59 / $5,934.59 / $5,934.59	Professional		$5,934.59	$5,934.59	$5,934.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $24,044.12	Facility		$55.00	$2,854.00	$24,044.12
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,594.16 / $2,820.78 / $9,848.32	Professional		$1,594.16	$2,820.78	$9,848.32
United Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $3,325.00 / $4,662.00	Facility		$953.00	$3,325.00	$4,662.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.16 / $2,139.56 / $5,250.17	Professional		$1,594.16	$2,139.56	$5,250.17