Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,107.00 / $8,093.30	Facility		$1,961.00	$3,107.00	$8,093.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.44 / $1,424.10 / $2,304.10	Professional		$1,040.44	$1,424.10	$2,304.10
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,939.00 / $5,097.00 / $12,850.00	Facility		$1,939.00	$5,097.00	$12,850.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,125.97 / $1,125.97 / $1,125.97	Facility	AS	$1,125.97	$1,125.97	$1,125.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $888.98 / $1,658.81 / $8,894.50	Professional		$888.98	$1,658.81	$8,894.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.78 / $2,022.16 / $2,687.06	Professional		$1,337.78	$2,022.16	$2,687.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,748.18 / $2,748.18 / $2,748.18	Facility		$2,748.18	$2,748.18	$2,748.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.70 / $1,861.75 / $3,355.22	Professional		$1,062.70	$1,861.75	$3,355.22
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.40 / $1,909.00 / $7,315.92	Facility		$1,021.40	$1,909.00	$7,315.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.65 / $1,406.02 / $1,940.86	Professional		$1,128.65	$1,406.02	$1,940.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,255.42 / $2,528.42 / $7,600.85	Professional		$1,255.42	$2,528.42	$7,600.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,900.25 / $7,188.27 / $7,570.59	Facility		$1,900.25	$7,188.27	$7,570.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,021.40 / $1,496.50 / $2,117.19	Professional		$1,021.40	$1,496.50	$2,117.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $6,280.00 / $26,542.00	Facility		$2,324.00	$6,280.00	$26,542.00
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,125.97 / $1,125.97 / $1,125.97	Facility	AS	$1,125.97	$1,125.97	$1,125.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,115.59 / $1,755.05 / $8,894.50	Professional		$1,115.59	$1,755.05	$8,894.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,063.00 / $10,764.00	Facility		$2,324.00	$5,063.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,658.81 / $3,355.26	Professional		$1,076.40	$1,658.81	$3,355.26