Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,900.00 / $6,617.00	Facility		$2,528.00	$2,900.00	$6,617.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.50 / $1,579.66 / $4,464.64	Professional		$1,148.50	$1,579.66	$4,464.64
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,939.00 / $4,751.20 / $11,879.05	Facility		$1,939.00	$4,751.20	$11,879.05
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 $979.46 / $1,705.23 / $11,185.05	Professional		$979.46	$1,705.23	$11,185.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.23 / $2,225.67 / $2,957.13	Professional		$1,681.23	$2,225.67	$2,957.13
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 $1,175.41 / $2,053.91 / $3,702.29	Professional		$1,175.41	$2,053.91	$3,702.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.19 / $1,909.00 / $7,218.72	Facility		$1,125.19	$1,909.00	$7,218.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.33 / $1,547.34 / $2,135.94	Professional		$1,243.33	$1,547.34	$2,135.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,383.63 / $2,786.63 / $7,600.85	Professional		$1,383.63	$2,786.63	$7,600.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,035.69 / $4,231.20 / $5,142.85	Facility		$2,035.69	$4,231.20	$5,142.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,595.89 / $1,771.64 / $4,125.00	Professional		$1,595.89	$1,771.64	$4,125.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $5,063.00 / $12,850.00	Facility		$2,150.00	$5,063.00	$12,850.00
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 $1,232.69 / $1,787.72 / $11,185.05	Professional		$1,232.69	$1,787.72	$11,185.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.00 / $5,413.80 / $12,398.96	Facility		$2,365.00	$5,413.80	$12,398.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.51 / $1,699.63 / $3,692.16	Professional		$1,106.51	$1,699.63	$3,692.16