Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.14 / $2,747.00 / $5,454.00	Facility		$1,204.14	$2,747.00	$5,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.14 / $2,015.78 / $4,621.82	Professional		$1,204.14	$2,015.78	$4,621.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,414.00 / $7,231.00	Facility		$789.00	$3,414.00	$7,231.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,645.63 / $3,100.88 / $12,101.20	Professional		$1,645.63	$3,100.88	$12,101.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,377.55 / $3,459.52 / $6,148.45	Professional		$2,377.55	$3,459.52	$6,148.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.70 / $2,614.42 / $8,090.00	Facility		$1,654.70	$2,614.42	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.51 / $2,399.32 / $4,289.81	Professional		$1,928.51	$2,399.32	$4,289.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,123.78 / $4,028.81 / $5,289.49	Professional		$2,123.78	$4,028.81	$5,289.49
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $25,754.40	Facility		$55.00	$2,854.00	$25,754.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,271.77 / $3,300.55 / $12,101.20	Professional		$2,271.77	$3,300.55	$12,101.20
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 $2,123.78 / $2,744.39 / $5,140.83	Professional		$2,123.78	$2,744.39	$5,140.83