Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $7,585.78	Facility		$2,570.40	$3,890.45	$7,585.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,265.80 / $33,884.42	Facility		$1,698.24	$4,265.80	$33,884.42
AllWays Health Partners Facility/Professional Facility Modifier 54 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	54	$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,445.44 / $7,079.46	Facility		$676.08	$1,445.44	$7,079.46
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $9,772.37	Facility		$1,698.24	$3,981.07	$9,772.37
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $33,884.42	Facility		$1,737.80	$4,265.80	$33,884.42
Mass General Brigham Facility/Professional Facility Modifier 54 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	54	$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $9,120.11	Facility		$1,698.24	$3,981.07	$9,120.11