Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.39 / $2,747.00 / $5,454.00	Facility		$696.39	$2,747.00	$5,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.39 / $1,188.96 / $1,791.63	Professional		$696.39	$1,188.96	$1,791.63
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $2,552.42 / $7,231.00	Facility		$789.00	$2,552.42	$7,231.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,020.41 / $1,687.12 / $9,631.00	Professional		$1,020.41	$1,687.12	$9,631.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.50 / $2,161.48 / $3,841.52	Professional		$1,469.50	$2,161.48	$3,841.52
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,638.11 / $8,090.00	Facility		$300.00	$1,638.11	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.74 / $1,485.55 / $2,656.07	Professional		$1,206.74	$1,485.55	$2,656.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,300.48 / $2,467.01 / $3,238.98	Professional		$1,300.48	$2,467.01	$3,238.98
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $15,714.88	Facility		$55.00	$2,854.00	$15,714.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,333.45 / $2,055.06 / $9,631.00	Professional		$1,333.45	$2,055.06	$9,631.00
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 $1,193.94 / $1,698.75 / $4,615.07	Professional		$1,193.94	$1,698.75	$4,615.07