Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $8,511.38	Facility		$2,691.53	$4,570.88	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $4,466.84	Professional		$1,230.27	$1,778.28	$4,466.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,165.95 / $13,803.84	Facility		$2,344.23	$6,165.95	$13,803.84
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	AS	$1,174.90	$1,174.90	$1,174.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $10,471.29	Professional		$1,023.29	$1,905.46	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $3,162.28	Professional		$1,380.38	$2,344.23	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,890.45	Professional		$1,258.93	$2,089.30	$3,890.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $7,762.47	Facility		$1,023.29	$1,995.26	$7,762.47
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,949.84	Professional		$1,122.02	$1,412.54	$1,949.84
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,888.44 / $13,182.57	Facility		$2,344.23	$5,888.44	$13,182.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $3,235.94	Professional		$1,148.15	$1,905.46	$3,235.94
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,466.84 / $8,709.64	Facility		$1,995.26	$4,466.84	$8,709.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,630.27	Professional		$1,659.59	$1,862.09	$2,630.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $13,803.84	Facility		$2,511.89	$6,309.57	$13,803.84
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	AS	$1,174.90	$1,174.90	$1,174.90
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $10,471.29	Professional		$1,000.00	$1,905.46	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,888.44 / $13,182.57	Facility		$2,344.23	$5,888.44	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,311.31	Professional		$1,202.26	$1,949.84	$3,311.31