Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.80 / $2,618.00 / $3,625.00	Facility		$704.80	$2,618.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.96 / $741.37 / $1,068.95	Professional		$646.96	$741.37	$1,068.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,913.56 / $7,082.80	Facility		$55.00	$1,913.56	$7,082.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $769.57 / $1,405.88 / $5,544.72	Professional		$769.57	$1,405.88	$5,544.72
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 $619.67 / $1,245.92 / $2,707.88	Professional		$619.67	$1,245.92	$2,707.88
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,650.22 / $6,679.00	Facility		$506.00	$1,650.22	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $882.01 / $1,114.53 / $1,637.20	Professional		$882.01	$1,114.53	$1,637.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $969.93 / $1,898.82 / $2,345.60	Professional		$969.93	$1,898.82	$2,345.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,376.00 / $7,082.80	Facility		$55.00	$2,376.00	$7,082.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $806.76 / $1,414.26 / $5,544.72	Professional		$806.76	$1,414.26	$5,544.72
United Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,338.00 / $4,952.00	Facility		$669.00	$2,338.00	$4,952.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.50 / $1,096.07 / $2,461.67	Professional		$748.50	$1,096.07	$2,461.67