Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,000.00	Facility		$575.44	$794.33	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $630.96	Professional		$575.44	$575.44	$630.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,479.11 / $1,995.26	Facility		$380.19	$1,479.11	$1,995.26
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,000.00	Professional		$575.44	$602.56	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,148.15	Facility		$575.44	$575.44	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $8,511.38	Facility		$575.44	$912.01	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,000.00	Professional		$602.56	$602.56	$1,000.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,479.11 / $1,995.26	Facility		$380.19	$1,479.11	$1,995.26
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,000.00	Professional		$575.44	$602.56	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $1,122.02	Facility		$524.81	$575.44	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,000.00	Professional		$575.44	$575.44	$1,000.00