Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,663.12 / $4,410.00	Facility		$1,758.00	$2,663.12	$4,410.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,987.79 / $1,987.79 / $1,987.79	Facility	50	$1,987.79	$1,987.79	$1,987.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.19 / $645.62 / $912.90	Professional		$562.19	$645.62	$912.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,250.15 / $3,764.00 / $9,039.00	Facility		$1,250.15	$3,764.00	$9,039.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $777.77 / $6,211.45	Professional		$448.78	$777.77	$6,211.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.72 / $1,101.52 / $1,463.70	Professional		$728.72	$1,101.52	$1,463.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.32 / $1,346.32 / $1,346.32	Facility		$1,346.32	$1,346.32	$1,346.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.97 / $992.96 / $1,812.41	Professional		$506.97	$992.96	$1,812.41
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $555.17 / $1,201.40 / $6,679.00	Facility		$555.17	$1,201.40	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $613.47 / $765.89 / $1,057.23	Professional		$613.47	$765.89	$1,057.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $681.57 / $1,372.68 / $3,618.15	Professional		$681.57	$1,372.68	$3,618.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $4,249.00 / $26,542.00	Facility		$1,685.00	$4,249.00	$26,542.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $797.55 / $6,211.45	Professional		$542.92	$797.55	$6,211.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $3,715.00 / $8,766.00	Facility		$1,685.00	$3,715.00	$8,766.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.10 / $714.68 / $1,639.22	Professional		$516.10	$714.68	$1,639.22