Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $3,235.64	Facility		$1,375.15	$1,375.15	$3,235.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $1,375.15	Professional		$1,375.15	$1,375.15	$1,375.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,136.51 / $1,485.60 / $4,168.60	Facility		$1,136.51	$1,485.60	$4,168.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,388.63 / $1,708.88	Professional		$1,375.15	$1,388.63	$1,708.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,533.39 / $1,823.49 / $3,887.07	Facility		$1,533.39	$1,823.49	$3,887.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
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 $1,429.07 / $1,429.07 / $3,029.63	Professional		$1,429.07	$1,429.07	$3,029.63
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,485.60 / $1,485.60 / $6,076.00	Facility		$1,485.60	$1,485.60	$6,076.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,388.63 / $2,082.94	Professional		$1,375.15	$1,388.63	$2,082.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,388.63 / $1,944.14	Professional		$1,375.15	$1,388.63	$1,944.14