Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.66 / $1,177.66 / $1,177.66	Facility		$1,177.66	$1,177.66	$1,177.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.95 / $1,177.66 / $2,124.00	Professional		$759.95	$1,177.66	$2,124.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,928.95 / $2,239.23 / $12,533.54	Facility		$1,928.95	$2,239.23	$12,533.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $880.57 / $1,736.06 / $2,106.42	Professional		$880.57	$1,736.06	$2,106.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.27 / $312.27 / $321.38	Facility		$312.27	$312.27	$321.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,701.33 / $2,429.69 / $2,429.69	Professional		$1,701.33	$2,429.69	$2,429.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $2,629.43	Facility		$1,208.78	$1,208.78	$2,629.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $1,208.78 / $3,904.69	Professional		$200.01	$1,208.78	$3,904.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,197.79 / $2,197.79 / $2,197.79	Professional		$2,197.79	$2,197.79	$2,197.79
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,543.16 / $1,543.16 / $1,543.16	Facility		$1,543.16	$1,543.16	$1,543.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,543.16 / $1,543.16 / $1,543.16	Professional		$1,543.16	$1,543.16	$1,543.16
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $12,533.54 / $12,533.54	Facility		$100.00	$12,533.54	$12,533.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $859.93 / $1,350.86 / $1,812.77	Professional		$859.93	$1,350.86	$1,812.77
United Facility/Professional Professional Modifier Low / Median / High Price $880.57 / $1,350.86 / $2,590.02	Professional		$880.57	$1,350.86	$2,590.02