Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $2,900.00 / $4,806.64	Facility		$2,663.12	$2,900.00	$4,806.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,916.90 / $4,563.64 / $6,952.21	Professional		$3,916.90	$4,563.64	$6,952.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,166.93 / $64,947.04	Facility		$55.00	$3,166.93	$64,947.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,166.93 / $8,172.85 / $30,633.12	Professional		$3,166.93	$8,172.85	$30,633.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $680.00 / $748.00	Facility		$50.00	$680.00	$748.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,387.48 / $7,190.95 / $14,873.37	Professional		$2,387.48	$7,190.95	$14,873.37
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $5,296.83 / $8,090.00	Facility		$300.00	$5,296.83	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $4,823.89 / $6,095.55 / $8,954.16	Professional		$4,823.89	$6,095.55	$8,954.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,365.35 / $10,505.36 / $13,028.33	Professional		$5,365.35	$10,505.36	$13,028.33
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,446.00 / $78,093.75	Facility		$55.00	$2,446.00	$78,093.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $3,318.67 / $8,721.27 / $30,633.12	Professional		$3,318.67	$8,721.27	$30,633.12
United Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $2,446.00 / $4,050.00	Facility		$789.00	$2,446.00	$4,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,889.92 / $6,191.55 / $14,338.07	Professional		$2,889.92	$6,191.55	$14,338.07