Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.04 / $2,747.00 / $5,454.00	Facility		$850.04	$2,747.00	$5,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $875.88 / $2,174.32	Professional		$843.35	$875.88	$2,174.32
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $2,080.30 / $7,231.00	Facility		$789.00	$2,080.30	$7,231.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $912.63 / $1,702.14 / $11,002.00	Professional		$912.63	$1,702.14	$11,002.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.80 / $1,732.44 / $3,131.10	Professional		$1,198.80	$1,732.44	$3,131.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,336.64 / $8,090.00	Facility		$300.00	$1,336.64	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $959.15 / $1,202.97 / $2,166.96	Professional		$959.15	$1,202.97	$2,166.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,060.85 / $2,103.05 / $2,642.18	Professional		$1,060.85	$2,103.05	$2,642.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,248.23 / $1,248.23 / $1,248.23	Professional		$1,248.23	$1,248.23	$1,248.23
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,854.00 / $10,415.34	Facility		$55.00	$2,854.00	$10,415.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $992.05 / $1,782.18 / $11,002.00	Professional		$992.05	$1,782.18	$11,002.00
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 $985.11 / $1,373.09 / $2,837.13	Professional		$985.11	$1,373.09	$2,837.13