Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $5,623.41	Facility		$1,995.26	$3,388.44	$5,623.41
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $17,378.01	Facility		$2,691.53	$5,011.87	$17,378.01
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 $302.00 / $3,019.95 / $8,511.38	Facility		$302.00	$3,019.95	$8,511.38
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $20,417.38	Facility		$2,691.53	$6,918.31	$20,417.38
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $17,378.01	Facility		$2,691.53	$5,011.87	$17,378.01
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 $2,691.53 / $6,606.93 / $17,378.01	Facility		$2,691.53	$6,606.93	$17,378.01