Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,554.19	Professional		$1,494.41	$1,494.41	$1,554.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $4,359.18 / $7,066.85	Facility		$1,494.41	$4,359.18	$7,066.85
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $7,066.85	Professional		$1,494.41	$1,494.41	$7,066.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.50 / $1,835.14 / $3,369.89	Facility		$1,603.50	$1,835.14	$3,369.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $2,241.62 / $8,090.00	Facility		$1,494.41	$2,241.62	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.38 / $2,156.38 / $2,536.91	Professional		$2,156.38	$2,156.38	$2,536.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,406.17 / $2,406.17 / $7,066.85	Facility		$2,406.17	$2,406.17	$7,066.85
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $7,066.85	Professional		$1,494.41	$1,494.41	$7,066.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,534.10	Professional		$1,494.41	$1,494.41	$2,534.10