Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $13,803.84	Facility		$2,570.40	$5,128.61	$13,803.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,413.10 / $25,118.86	Facility		$2,089.30	$7,413.10	$25,118.86
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	62	$12,589.25	$12,589.25	$12,589.25
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,905.46 / $7,079.46	Facility		$501.19	$1,905.46	$7,079.46
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,918.31 / $15,488.17	Facility		$2,570.40	$6,918.31	$15,488.17
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $20,417.38	Facility		$2,137.96	$6,918.31	$20,417.38
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,413.10 / $25,118.86	Facility		$2,454.71	$7,413.10	$25,118.86
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	62	$12,589.25	$12,589.25	$12,589.25
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $16,595.87	Facility		$2,570.40	$7,244.36	$16,595.87