Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $9,373.70	Facility		$4,686.85	$4,686.85	$9,373.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,874.33 / $5,606.96	Professional		$4,686.85	$4,874.33	$5,606.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,102.57 / $6,234.40 / $15,527.53	Facility		$4,102.57	$6,234.40	$15,527.53
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,985.67	Professional		$4,686.85	$4,686.85	$5,985.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,028.99 / $5,980.42 / $12,748.23	Facility		$5,028.99	$5,980.42	$12,748.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Facility		$4,686.85	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $5,733.00 / $9,239.00	Facility		$1,909.00	$5,733.00	$9,239.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $9,733.65	Professional		$4,686.85	$4,686.85	$9,733.65
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $6,234.40 / $6,234.40 / $23,434.25	Facility		$6,234.40	$6,234.40	$23,434.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $7,030.28	Professional		$4,686.85	$4,686.85	$7,030.28
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $6,561.78	Professional		$4,686.85	$4,686.85	$6,561.78