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 $502.89 / $778.48 / $1,997.38	Professional		$502.89	$778.48	$1,997.38
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $6,883.00 / $26,542.00	Facility		$1,697.00	$6,883.00	$26,542.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $623.00 / $1,162.52 / $5,209.04	Professional		$623.00	$1,162.52	$5,209.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.87 / $1,374.10 / $1,817.41	Professional		$994.87	$1,374.10	$1,817.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.77 / $1,502.87 / $2,687.53	Professional		$1,153.77	$1,502.87	$2,687.53
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $716.20 / $1,523.12 / $6,679.00	Facility		$716.20	$1,523.12	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $841.52 / $1,038.49 / $1,525.51	Professional		$841.52	$1,038.49	$1,525.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $911.36 / $1,822.72 / $2,961.92	Professional		$911.36	$1,822.72	$2,961.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,634.49 / $4,634.49 / $4,959.89	Facility		$4,634.49	$4,634.49	$4,959.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,135.71 / $1,135.71 / $1,135.71	Professional		$1,135.71	$1,135.71	$1,135.71
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $7,292.00 / $26,542.00	Facility		$2,386.00	$7,292.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $842.71 / $1,392.15 / $5,209.04	Professional		$842.71	$1,392.15	$5,209.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,017.00	Facility		$2,386.00	$5,904.00	$13,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.39 / $1,054.66 / $2,073.41	Professional		$755.39	$1,054.66	$2,073.41