Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,146.36 / $2,146.36 / $2,146.36	Facility		$2,146.36	$2,146.36	$2,146.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,146.36 / $2,146.36 / $3,805.54	Professional		$2,146.36	$2,146.36	$3,805.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,376.69 / $7,496.11 / $28,986.50	Facility		$2,376.69	$7,496.11	$28,986.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,283.32 / $3,542.15 / $4,797.26	Professional		$2,283.32	$3,542.15	$4,797.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,213.99 / $6,343.42 / $8,169.13	Facility		$5,213.99	$6,343.42	$8,169.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,216.68 / $4,358.64 / $4,358.64	Professional		$3,216.68	$4,358.64	$4,358.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,841.43 / $3,532.34 / $3,532.34	Facility		$2,841.43	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $6,330.38	Professional		$2,578.61	$3,532.34	$6,330.38
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 $3,977.34 / $3,977.34 / $4,176.21	Professional		$3,977.34	$3,977.34	$4,176.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $2,972.75 / $2,972.75 / $2,972.75	Professional		$2,972.75	$2,972.75	$2,972.75
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $11,084.82 / $28,986.50 / $28,986.50	Facility		$11,084.82	$28,986.50	$28,986.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,918.90 / $2,625.86 / $4,797.26	Professional		$1,918.90	$2,625.86	$4,797.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,030.44 / $2,625.86 / $4,576.82	Professional		$2,030.44	$2,625.86	$4,576.82