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 / $7,865.73	Facility		$2,528.00	$2,900.00	$7,865.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.04 / $1,789.67 / $2,932.59	Professional		$1,493.04	$1,789.67	$2,932.59
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,939.00 / $5,097.00 / $12,491.12	Facility		$1,939.00	$5,097.00	$12,491.12
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $1,413.06 / $1,413.06 / $1,413.06	Facility	AS	$1,413.06	$1,413.06	$1,413.06
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,139.48 / $1,983.61 / $11,366.67	Professional		$1,139.48	$1,983.61	$11,366.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.77 / $1,843.02 / $3,213.61	Professional		$1,084.77	$1,843.02	$3,213.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.91 / $3,448.91 / $3,448.91	Facility		$3,448.91	$3,448.91	$3,448.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.79 / $2,389.67 / $4,302.51	Professional		$1,406.79	$2,389.67	$4,302.51
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.08 / $2,116.23 / $7,218.72	Facility		$1,308.08	$2,116.23	$7,218.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,798.80 / $2,483.04	Professional		$1,445.44	$1,798.80	$2,483.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,608.50 / $3,239.52 / $7,600.85	Professional		$1,608.50	$3,239.52	$7,600.85
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,521.91 / $4,436.96 / $8,214.98	Facility		$2,521.91	$4,436.96	$8,214.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,856.79 / $2,001.48 / $2,113.19	Professional		$1,856.79	$2,001.48	$2,113.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,897.00 / $14,907.95	Facility		$2,324.00	$5,897.00	$14,907.95
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $1,413.06 / $1,413.06 / $1,413.06	Facility	AS	$1,413.06	$1,413.06	$1,413.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,434.29 / $2,075.21 / $11,366.67	Professional		$1,434.29	$2,075.21	$11,366.67
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 $1,419.56 / $1,983.61 / $4,294.58	Professional		$1,419.56	$1,983.61	$4,294.58