Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.44 / $993.44 / $993.44	Facility		$993.44	$993.44	$993.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.44 / $1,047.76 / $1,809.26	Professional		$993.44	$1,047.76	$1,809.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,215.38 / $4,728.99 / $10,800.08	Facility		$1,215.38	$4,728.99	$10,800.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,038.47 / $1,600.25 / $2,220.41	Professional		$1,038.47	$1,600.25	$2,220.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,671.15 / $1,800.00 / $1,800.00	Facility		$1,671.15	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $2,700.75	Professional		$1,530.00	$1,800.00	$2,700.75
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 $1,840.91 / $1,840.91 / $1,932.96	Professional		$1,840.91	$1,840.91	$1,932.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $4,728.99 / $10,800.08 / $10,800.08	Facility		$4,728.99	$10,800.08	$10,800.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $888.16 / $1,215.38 / $2,220.41	Professional		$888.16	$1,215.38	$2,220.41
United Facility/Professional Professional Modifier Low / Median / High Price $987.50 / $1,215.38 / $2,220.41	Professional		$987.50	$1,215.38	$2,220.41