Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.74 / $868.74 / $868.74	Facility		$868.74	$868.74	$868.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.74 / $916.26 / $1,582.15	Professional		$868.74	$916.26	$1,582.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,778.94 / $4,135.39 / $9,502.08	Facility		$1,778.94	$4,135.39	$9,502.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,508.95 / $2,019.36	Professional		$907.89	$1,508.95	$2,019.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,229.96 / $2,593.71 / $3,308.09	Facility		$2,229.96	$2,593.71	$3,308.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.94 / $1,764.17 / $1,764.17	Professional		$1,301.94	$1,764.17	$1,764.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,393.90 / $3,012.51	Facility		$1,317.79	$1,393.90	$3,012.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $2,361.75	Professional		$961.99	$1,317.79	$2,361.75
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,609.83 / $1,609.83 / $1,690.32	Professional		$1,609.83	$1,609.83	$1,690.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $1,682.88 / $1,682.88 / $1,682.88	Professional		$1,682.88	$1,682.88	$1,682.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $4,135.39 / $9,502.08 / $9,502.08	Facility		$4,135.39	$9,502.08	$9,502.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $1,062.81 / $1,941.69	Professional		$776.68	$1,062.81	$1,941.69
United Facility/Professional Professional Modifier Low / Median / High Price $863.53 / $1,062.81 / $1,941.69	Professional		$863.53	$1,062.81	$1,941.69