Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $603.54 / $853.63	Professional		$538.33	$603.54	$853.63
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,266.33 / $3,764.00 / $9,039.00	Facility		$1,266.33	$3,764.00	$9,039.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $466.65 / $770.74 / $4,014.16	Professional		$466.65	$770.74	$4,014.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.37 / $452.37 / $1,392.16	Professional		$452.37	$452.37	$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 $488.81 / $997.69 / $1,742.87	Professional		$488.81	$997.69	$1,742.87
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $554.75 / $1,209.94 / $6,679.00	Facility		$554.75	$1,209.94	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $771.34 / $1,064.75	Professional		$613.00	$771.34	$1,064.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $677.48 / $1,364.44 / $3,830.48	Professional		$677.48	$1,364.44	$3,830.48
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $4,249.00 / $12,000.00	Facility		$1,685.00	$4,249.00	$12,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $530.86 / $773.80 / $4,014.16	Professional		$530.86	$773.80	$4,014.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,715.00 / $8,766.00	Facility		$1,685.00	$3,715.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.42 / $695.62 / $1,595.46	Professional		$530.42	$695.62	$1,595.46