Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,275.00 / $1,275.00	Professional		$1,200.00	$1,275.00	$1,275.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $1,425.00 / $3,000.00	Facility		$1,425.00	$1,425.00	$3,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $5,700.00	Professional		$1,250.00	$1,250.00	$5,700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.03 / $1,749.90 / $3,213.38	Facility		$1,529.03	$1,749.90	$3,213.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
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
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $1,425.00 / $3,000.00	Facility		$1,425.00	$1,425.00	$3,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $5,700.00	Professional		$1,250.00	$1,250.00	$5,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $2,067.55	Professional		$1,250.00	$1,250.00	$2,067.55