Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $7,839.97	Facility		$1,758.00	$2,747.00	$7,839.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.78 / $763.61 / $2,498.77	Professional		$440.78	$763.61	$2,498.77
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $5,481.31 / $26,542.00	Facility		$1,485.00	$5,481.31	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $854.12 / $854.12 / $854.12	Facility	AS	$854.12	$854.12	$854.12
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $559.13 / $1,022.48 / $4,580.16	Professional		$559.13	$1,022.48	$4,580.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.69 / $1,197.07 / $1,583.26	Professional		$866.69	$1,197.07	$1,583.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.12 / $1,321.24 / $2,348.17	Professional		$1,005.12	$1,321.24	$2,348.17
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $624.35 / $1,326.90 / $6,679.00	Facility		$624.35	$1,326.90	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $733.11 / $905.31 / $1,390.28	Professional		$733.11	$905.31	$1,390.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $795.03 / $1,590.06 / $2,583.85	Professional		$795.03	$1,590.06	$2,583.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $3,510.54 / $4,267.18 / $4,580.53	Facility		$3,510.54	$4,267.18	$4,580.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,379.00 / $1,379.00 / $1,379.00	Professional		$1,379.00	$1,379.00	$1,379.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,104.00 / $26,542.00	Facility		$2,155.00	$6,104.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $854.12 / $854.12 / $854.12	Facility	AS	$854.12	$854.12	$854.12
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $749.84 / $1,301.41 / $4,580.16	Professional		$749.84	$1,301.41	$4,580.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.28 / $944.30 / $1,943.64	Professional		$714.28	$944.30	$1,943.64