Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,894.00 / $6,107.00	Facility		$2,528.00	$2,894.00	$6,107.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.73 / $1,315.72 / $2,878.55	Professional		$1,196.73	$1,315.72	$2,878.55
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,352.25 / $4,523.67 / $10,174.20	Facility		$1,352.25	$4,523.67	$10,174.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,239.69 / $2,402.62 / $8,747.12	Professional		$1,239.69	$2,402.62	$8,747.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.83 / $2,482.53 / $4,515.85	Professional		$1,393.83	$2,482.53	$4,515.85
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,907.61 / $8,090.00	Facility		$300.00	$1,907.61	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $735.10 / $1,368.70 / $2,206.62	Professional		$735.10	$1,368.70	$2,206.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,497.09 / $2,985.80 / $4,373.14	Professional		$1,497.09	$2,985.80	$4,373.14
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,097.00 / $12,850.00	Facility		$55.00	$5,097.00	$12,850.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,404.08 / $2,543.48 / $8,747.12	Professional		$1,404.08	$2,543.48	$8,747.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.53 / $1,874.06 / $4,104.96	Professional		$1,393.53	$1,874.06	$4,104.96