Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,733.00 / $4,712.00	Facility		$1,758.00	$2,733.00	$4,712.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,401.65 / $2,220.62	Professional		$1,179.97	$1,401.65	$2,220.62
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,939.00 / $4,930.12 / $15,169.65	Facility		$1,939.00	$4,930.12	$15,169.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,264.46 / $2,199.30 / $9,496.56	Professional		$1,264.46	$2,199.30	$9,496.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.31 / $2,150.31 / $3,604.06	Professional		$1,429.31	$2,150.31	$3,604.06
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,309.82 / $2,069.52 / $6,679.00	Facility		$1,309.82	$2,069.52	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.02 / $1,820.65 / $2,477.52	Professional		$1,503.02	$1,820.65	$2,477.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,640.45 / $3,252.03 / $5,159.68	Professional		$1,640.45	$3,252.03	$5,159.68
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $26,542.00	Facility		$2,324.00	$5,097.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,385.84 / $2,405.92 / $9,496.56	Professional		$1,385.84	$2,405.92	$9,496.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.84 / $2,067.67 / $4,379.43	Professional		$1,385.84	$2,067.67	$4,379.43