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
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,014.06 / $5,897.00 / $13,940.55	Facility		$2,014.06	$5,897.00	$13,940.55
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $302.54 / $302.54 / $1,887.52	Facility	AS	$302.54	$302.54	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $3,000.00	Facility		$2,000.00	$2,000.00	$3,000.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.78 / $1,924.09 / $6,679.00	Facility		$1,217.78	$1,924.09	$6,679.00
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,401.43 / $6,401.43 / $13,558.78	Facility		$6,401.43	$6,401.43	$13,558.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $16,712.00	Facility		$2,386.00	$5,904.00	$16,712.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $302.54 / $302.54 / $1,887.52	Facility	AS	$302.54	$302.54	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,386.00 / $5,904.00 / $13,058.00	Facility		$2,386.00	$5,904.00	$13,058.00