Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,388.44 / $5,623.41	Facility		$1,174.90	$3,388.44	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $4,897.79	Professional		$1,174.90	$1,479.11	$4,897.79
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,388.44 / $7,244.36	Facility		$56.23	$3,388.44	$7,244.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $10,715.19	Professional		$1,174.90	$2,089.30	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $4,677.35	Professional		$1,548.82	$2,398.83	$4,677.35
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,344.23 / $8,511.38	Facility		$302.00	$2,344.23	$8,511.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,884.03	Professional		$1,659.59	$2,089.30	$2,884.03
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,311.31 / $5,888.44	Facility		$1,000.00	$3,311.31	$5,888.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $3,981.07	Professional		$1,513.56	$2,691.53	$3,981.07
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $3,388.44 / $7,244.36	Facility		$56.23	$3,388.44	$7,244.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $10,715.19	Professional		$1,174.90	$2,089.30	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $4,677.35	Facility		$1,000.00	$2,884.03	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $4,677.35	Professional		$1,445.44	$2,187.76	$4,677.35