Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $2,090.30	Facility		$1,045.15	$1,045.15	$2,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,086.96 / $1,252.97	Professional		$1,045.15	$1,086.96	$1,252.97
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,464.00 / $3,462.58	Facility		$1,045.15	$1,464.00	$3,462.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,346.40	Professional		$1,045.15	$1,045.15	$1,346.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.45 / $1,333.61 / $2,842.81	Facility		$1,121.45	$1,333.61	$2,842.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Facility		$1,045.15	$1,045.15	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,649.74 / $8,090.00	Facility		$1,044.14	$1,649.74	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $2,170.57	Professional		$1,045.15	$1,045.15	$2,170.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,464.00 / $1,464.00 / $6,321.05	Facility		$1,464.00	$1,464.00	$6,321.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,567.73	Professional		$1,045.15	$1,045.15	$1,567.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,463.25	Professional		$1,045.15	$1,045.15	$1,463.25