Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.91 / $1,699.91 / $1,699.91	Facility		$1,699.91	$1,699.91	$1,699.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.91 / $1,699.91 / $3,000.00	Professional		$1,699.91	$1,699.91	$3,000.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,250.39 / $7,097.73 / $18,674.96	Facility		$2,250.39	$7,097.73	$18,674.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,724.61 / $2,735.22 / $3,799.43	Professional		$1,724.61	$2,735.22	$3,799.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,129.47 / $5,023.99 / $6,469.95	Facility		$4,129.47	$5,023.99	$6,469.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,802.36 / $3,452.06 / $3,452.06	Professional		$2,802.36	$3,452.06	$3,452.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,250.39 / $2,727.52	Facility		$2,160.07	$2,250.39	$2,727.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $4,775.25	Professional		$1,576.85	$2,160.07	$4,775.25
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 $3,150.06 / $3,150.06 / $3,307.56	Professional		$3,150.06	$3,150.06	$3,307.56
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,270.03 / $2,270.03 / $2,270.03	Facility		$2,270.03	$2,270.03	$2,270.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $2,270.03 / $2,935.13 / $2,935.13	Professional		$2,270.03	$2,935.13	$2,935.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $8,362.02 / $18,674.96 / $18,674.96	Facility		$8,362.02	$18,674.96	$18,674.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,519.77 / $2,079.67 / $3,799.43	Professional		$1,519.77	$2,079.67	$3,799.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,519.77 / $2,079.67 / $3,724.55	Professional		$1,519.77	$2,079.67	$3,724.55