Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,094.00 / $3,685.00	Facility		$988.00	$2,094.00	$3,685.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.49 / $805.56 / $1,370.88	Professional		$747.49	$805.56	$1,370.88
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,923.03 / $5,047.31 / $12,000.00	Facility		$1,923.03	$5,047.31	$12,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $814.95 / $1,645.53 / $6,038.32	Professional		$814.95	$1,645.53	$6,038.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.10 / $1,786.58 / $3,248.46	Professional		$1,076.10	$1,786.58	$3,248.46
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $834.48 / $1,357.58 / $6,679.00	Facility		$834.48	$1,357.58	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $957.57 / $1,210.00 / $2,163.39	Professional		$957.57	$1,210.00	$2,163.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,029.73 / $2,053.69 / $2,737.02	Professional		$1,029.73	$2,053.69	$2,737.02
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $6,280.00 / $12,850.00	Facility		$2,324.00	$6,280.00	$12,850.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $962.53 / $1,846.73 / $6,038.32	Professional		$962.53	$1,846.73	$6,038.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,324.00 / $5,097.00 / $10,764.00	Facility		$2,324.00	$5,097.00	$10,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.86 / $1,465.29 / $2,924.80	Professional		$959.86	$1,465.29	$2,924.80