Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,645.20 / $10,130.20	Facility		$1,000.00	$7,645.20	$10,130.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $5,118.96	Professional		$1,000.00	$1,000.00	$5,118.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,455.96 / $5,783.76 / $15,789.00	Facility		$2,455.96	$5,783.76	$15,789.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,595.52 / $3,324.00 / $12,481.72	Professional		$1,595.52	$3,324.00	$12,481.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,283.23 / $7,555.02 / $13,208.08	Facility		$5,283.23	$7,555.02	$13,208.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,058.08 / $3,058.08 / $3,058.08	Professional		$3,058.08	$3,058.08	$3,058.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.60 / $2,376.66 / $6,480.50	Facility		$2,160.60	$2,376.66	$6,480.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,944.54 / $3,506.84 / $14,832.53	Professional		$1,944.54	$3,506.84	$14,832.53
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 $4,796.30 / $4,796.30 / $5,642.70	Professional		$4,796.30	$4,796.30	$5,642.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $10,808.80	Professional		$3,324.00	$3,324.00	$10,808.80
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $5,783.76 / $15,789.00 / $15,789.00	Facility		$5,783.76	$15,789.00	$15,789.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,495.80 / $1,994.40 / $16,620.00	Professional		$1,495.80	$1,994.40	$16,620.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,991.60 / $3,324.00 / $3,988.80	Facility		$2,991.60	$3,324.00	$3,988.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $5,385.41	Professional		$1,396.08	$1,994.40	$5,385.41