Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,895.75	Professional		$2,784.38	$2,784.38	$2,895.75
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,703.75 / $3,703.75 / $4,465.51	Facility		$3,703.75	$3,703.75	$4,465.51
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $6,987.21	Professional		$2,784.38	$2,784.38	$6,987.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,987.64 / $3,419.22 / $6,278.78	Facility		$2,987.64	$3,419.22	$6,278.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.53 / $2,784.38 / $2,784.38	Professional		$1,688.53	$2,784.38	$2,784.38
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $3,619.69 / $8,090.00	Facility		$1,909.00	$3,619.69	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,703.75 / $3,703.75 / $4,465.51	Facility		$3,703.75	$3,703.75	$4,465.51
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $6,987.21	Professional		$2,784.38	$2,784.38	$6,987.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,200.00	Professional		$2,784.38	$2,784.38	$4,200.00