Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,377.00 / $1,377.00	Professional		$1,296.00	$1,377.00	$1,377.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $1,539.00 / $3,240.00	Facility		$1,539.00	$1,539.00	$3,240.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $6,156.00	Professional		$1,350.00	$1,350.00	$6,156.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.35 / $1,889.89 / $3,470.45	Facility		$1,651.35	$1,889.89	$3,470.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
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
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $2,605.42 / $3,429.56	Professional		$1,377.00	$2,605.42	$3,429.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $1,539.00 / $3,240.00	Facility		$1,539.00	$1,539.00	$3,240.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $6,156.00	Professional		$1,350.00	$1,350.00	$6,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,289.21	Professional		$1,350.00	$1,350.00	$2,289.21