Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $3,657.44	Facility		$1,828.72	$1,828.72	$3,657.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,901.86 / $2,233.36	Professional		$1,828.72	$1,901.86	$2,233.36
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $3,565.20 / $6,058.55	Facility		$1,828.72	$3,565.20	$6,058.55
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $3,261.96	Professional		$1,828.72	$1,828.72	$3,261.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.22 / $2,333.44 / $4,974.12	Facility		$1,962.22	$2,333.44	$4,974.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Facility		$1,828.71	$1,828.71	$1,828.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $2,796.35 / $8,090.00	Facility		$1,828.72	$2,796.35	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $4,795.68	Professional		$1,828.72	$1,828.72	$4,795.68
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,565.20 / $3,565.20 / $15,218.75	Facility		$3,565.20	$3,565.20	$15,218.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $3,261.96	Professional		$1,828.72	$1,828.72	$3,261.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $3,261.96	Professional		$1,828.72	$1,828.72	$3,261.96