Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $6,456.54	Facility		$2,570.40	$3,715.35	$6,456.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $18,197.01	Facility		$2,570.40	$5,370.32	$18,197.01
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 $1,122.02 / $2,570.40 / $7,762.47	Facility		$1,122.02	$2,570.40	$7,762.47
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
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $18,197.01	Facility		$2,630.27	$5,370.32	$18,197.01
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