Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,733.00 / $4,806.64	Facility		$1,758.00	$2,733.00	$4,806.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.18 / $429.86 / $682.58	Professional		$401.18	$429.86	$682.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,031.20 / $3,997.00 / $12,623.50	Facility		$1,031.20	$3,997.00	$12,623.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $433.59 / $830.53 / $3,113.28	Professional		$433.59	$830.53	$3,113.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.97 / $890.49 / $1,642.01	Professional		$505.97	$890.49	$1,642.01
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $428.47 / $923.30 / $6,679.00	Facility		$428.47	$923.30	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $491.67 / $792.67	Professional		$264.89	$491.67	$792.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $532.89 / $1,062.80 / $1,564.83	Professional		$532.89	$1,062.80	$1,564.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,596.60 / $4,525.00 / $26,542.00	Facility		$1,596.60	$4,525.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $481.01 / $908.20 / $3,113.28	Professional		$481.01	$908.20	$3,113.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,902.00 / $3,764.00 / $8,766.00	Facility		$1,902.00	$3,764.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.01 / $673.41 / $1,391.80	Professional		$481.01	$673.41	$1,391.80