Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $2,137.96	Professional		$660.69	$870.96	$2,137.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $10,000.00	Facility		$1,698.24	$1,737.80	$10,000.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $1,819.70	Professional		$724.44	$1,348.96	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,090.30	Facility		$1,995.26	$2,290.87	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,023.29	Professional		$758.58	$758.58	$1,023.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,344.23	Professional		$1,548.82	$1,548.82	$2,344.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $10,000.00	Facility		$1,698.24	$1,737.80	$10,000.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $1,995.26	Professional		$724.44	$1,380.38	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1,000.00 / $2,187.76	Facility		$1.26	$1,000.00	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,548.82	Professional		$691.83	$1,000.00	$1,548.82