Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.29 / $2,663.12 / $3,625.00	Facility		$455.29	$2,663.12	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.08 / $489.57 / $721.21	Professional		$394.08	$489.57	$721.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $926.08 / $2,667.72 / $8,498.00	Facility		$926.08	$2,667.72	$8,498.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $623.29 / $2,835.68	Professional		$343.71	$623.29	$2,835.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.77 / $599.38 / $1,059.30	Facility		$461.77	$599.38	$1,059.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.88 / $605.88 / $1,392.16	Professional		$605.88	$605.88	$1,392.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,593.42 / $1,593.42 / $1,593.42	Facility		$1,593.42	$1,593.42	$1,593.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.58 / $749.68 / $1,412.47	Professional		$393.58	$749.68	$1,412.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $388.74 / $842.00 / $6,679.00	Facility		$388.74	$842.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $498.19 / $626.13 / $864.30	Professional		$498.19	$626.13	$864.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $981.56 / $1,464.32	Professional		$476.77	$981.56	$1,464.32
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,732.44 / $2,732.44 / $2,732.44	Facility		$2,732.44	$2,732.44	$2,732.44
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,372.00 / $16,394.00	Facility		$1,245.00	$3,372.00	$16,394.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $451.65 / $699.93 / $3,267.52	Professional		$451.65	$699.93	$3,267.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,372.00 / $8,425.00	Facility		$1,245.00	$3,372.00	$8,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.47 / $591.79 / $1,357.25	Professional		$439.47	$591.79	$1,357.25