Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,499.48	Facility		$1,105.00	$1,105.00	$1,499.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,105.00 / $1,235.00	Professional		$1,040.00	$1,105.00	$1,235.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,315.65 / $2,957.71 / $4,407.43	Facility		$1,315.65	$2,957.71	$4,407.43
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,111.50 / $1,315.65 / $3,292.68	Professional		$1,111.50	$1,315.65	$3,292.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.76 / $4,663.39 / $8,589.73	Facility		$2,722.76	$4,663.39	$8,589.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $825.70 / $1,657.72 / $6,679.00	Facility		$825.70	$1,657.72	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.71 / $1,841.91 / $2,666.03	Professional		$1,509.71	$1,841.91	$2,666.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,992.06	Professional		$1,235.00	$1,235.00	$1,992.06
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,493.27 / $2,493.27 / $7,117.97	Facility		$2,493.27	$2,493.27	$7,117.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,235.00 / $7,425.58	Professional		$1,105.00	$1,235.00	$7,425.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,235.00 / $1,852.50	Professional		$1,105.00	$1,235.00	$1,852.50