Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,414.60 / $4,414.60 / $23,876.00	Facility		$4,414.60	$4,414.60	$23,876.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,529.63 / $4,008.51 / $4,414.60	Professional		$2,529.63	$4,008.51	$4,414.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $4,983.00 / $11,272.00	Facility		$1,485.00	$4,983.00	$11,272.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $3,481.76 / $9,231.35	Professional		$205.28	$3,481.76	$9,231.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49,922.00 / $52,419.00 / $56,064.00	Facility		$49,922.00	$52,419.00	$56,064.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,367.71	Professional		$2,316.69	$2,316.69	$2,367.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $4,096.18 / $9,239.00	Facility		$1,909.00	$4,096.18	$9,239.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3,357.41 / $4,096.18 / $6,232.06	Professional		$3,357.41	$4,096.18	$6,232.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,985.41 / $7,100.80 / $9,463.66	Professional		$3,985.41	$7,100.80	$9,463.66
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,616.64 / $1,616.64 / $1,616.64	Facility		$1,616.64	$1,616.64	$1,616.64
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,455.63 / $11,272.00	Facility		$2,155.00	$5,455.63	$11,272.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $171.69 / $3,387.50 / $16,830.00	Professional		$171.69	$3,387.50	$16,830.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $4,983.00 / $8,810.00	Facility		$2,155.00	$4,983.00	$8,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.69 / $3,196.11 / $5,993.65	Professional		$171.69	$3,196.11	$5,993.65