Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.12 / $3,111.85 / $8,331.00	Facility		$2,663.12	$3,111.85	$8,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.00 / $1,609.60 / $2,885.99	Professional		$1,390.00	$1,609.60	$2,885.99
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 $1,018.53 / $1,885.73 / $10,464.70	Professional		$1,018.53	$1,885.73	$10,464.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,749.68 / $2,316.29 / $3,077.53	Professional		$1,749.68	$2,316.29	$3,077.53
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 $1,362.90 / $2,137.61 / $3,853.00	Professional		$1,362.90	$2,137.61	$3,853.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,171.41 / $1,909.00 / $7,315.92	Facility		$1,171.41	$1,909.00	$7,315.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.41 / $1,610.34 / $2,222.90	Professional		$1,294.41	$1,610.34	$2,222.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,440.97 / $2,902.11 / $7,600.85	Professional		$1,440.97	$2,902.11	$7,600.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,994.70 / $2,096.71 / $8,737.07	Facility		$1,994.70	$2,096.71	$8,737.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,660.16 / $1,843.43 / $3,401.36	Professional		$1,660.16	$1,843.43	$3,401.36
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 $1,283.47 / $2,045.07 / $10,464.70	Professional		$1,283.47	$2,045.07	$10,464.70
Tufts Facility/Professional Facility Modifier Low / Median / High Price $885.68 / $5,111.80 / $5,350.68	Facility		$885.68	$5,111.80	$5,350.68
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 $1,235.95 / $1,870.24 / $3,444.60	Professional		$1,235.95	$1,870.24	$3,444.60