Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.50 / $2,393.50 / $2,393.50	Facility		$2,393.50	$2,393.50	$2,393.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,393.50 / $2,662.49 / $4,572.45	Professional		$2,393.50	$2,662.49	$4,572.45
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,901.22 / $14,630.14 / $29,247.41	Facility		$4,901.22	$14,630.14	$29,247.41
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,562.50 / $4,113.26 / $5,349.63	Professional		$2,562.50	$4,113.26	$5,349.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,782.74 / $7,069.30 / $9,069.11	Facility		$5,782.74	$7,069.30	$9,069.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,288.53 / $4,860.53 / $4,860.53	Professional		$4,288.53	$4,860.53	$4,860.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $6,680.25	Professional		$2,721.75	$3,728.42	$6,680.25
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 $4,435.31 / $4,435.31 / $4,657.08	Professional		$4,435.31	$4,435.31	$4,657.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $4,234.64 / $4,234.64 / $4,234.64	Professional		$4,234.64	$4,234.64	$4,234.64
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $11,697.59 / $29,247.41 / $29,247.41	Facility		$11,697.59	$29,247.41	$29,247.41
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,139.85 / $3,290.13 / $5,349.63	Professional		$2,139.85	$3,290.13	$5,349.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,467.60 / $3,290.13 / $5,195.68	Professional		$2,467.60	$3,290.13	$5,195.68