Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,668.00 / $3,621.52	Facility		$812.00	$2,668.00	$3,621.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.70 / $812.00 / $1,363.81	Professional		$762.70	$812.00	$1,363.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $857.12 / $1,326.56 / $3,631.96	Facility		$857.12	$1,326.56	$3,631.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,160.00 / $4,600.13	Professional		$696.00	$1,160.00	$4,600.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,658.80 / $3,111.12	Facility		$1,160.00	$1,658.80	$3,111.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.40 / $1,090.40 / $1,090.40	Professional		$1,090.40	$1,090.40	$1,090.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.31 / $838.13 / $2,639.00	Facility		$746.31	$838.13	$2,639.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.98 / $1,113.56 / $1,887.92	Professional		$695.98	$1,113.56	$1,887.92
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.75 / $1,673.75 / $1,969.12	Professional		$1,673.75	$1,673.75	$1,969.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $3,592.40	Professional		$1,160.00	$1,160.00	$3,592.40
Health New England Facility/Professional Facility Modifier Low / Median / High Price $6,184.60 / $6,184.60 / $6,184.60	Facility		$6,184.60	$6,184.60	$6,184.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,018.40 / $5,510.00 / $5,510.00	Facility		$2,018.40	$5,510.00	$5,510.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $5,800.00	Professional		$696.00	$696.00	$5,800.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,160.00 / $1,392.00	Facility		$1,044.00	$1,160.00	$1,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $2,211.04	Professional		$696.00	$696.00	$2,211.04