Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $12,816.80	Facility		$6,408.38	$6,408.38	$12,816.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,664.71 / $7,745.48	Professional		$6,408.38	$6,664.71	$7,745.48
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $5,708.59 / $8,524.35 / $21,230.96	Facility		$5,708.59	$8,524.35	$21,230.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,106.60	Professional		$6,408.38	$6,408.38	$8,106.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,876.19 / $8,177.09 / $17,430.79	Facility		$6,876.19	$8,177.09	$17,430.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Facility		$6,408.38	$6,408.38	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $6,679.00 / $10,198.21	Facility		$1,909.00	$6,679.00	$10,198.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $13,308.92	Professional		$6,408.38	$6,408.38	$13,308.92
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $8,524.35 / $8,524.35 / $32,041.90	Facility		$8,524.35	$8,524.35	$32,041.90
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $9,612.57	Professional		$6,408.38	$6,408.38	$9,612.57
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,971.99	Professional		$6,408.38	$6,408.38	$8,971.99