Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,654.16	Professional		$1,590.54	$1,590.54	$1,654.16
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $5,246.22	Facility		$2,550.00	$2,550.00	$5,246.22
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $10,500.00	Professional		$1,590.54	$1,590.54	$10,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $16.73 / $21.35	Facility		$14.54	$16.73	$21.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $2,385.81 / $8,090.00	Facility		$1,590.54	$2,385.81	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Professional		$1,590.54	$1,590.54	$1,590.54
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $5,246.22	Facility		$2,550.00	$2,550.00	$5,246.22
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $10,500.00	Professional		$1,590.54	$1,590.54	$10,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,648.28	Professional		$1,590.54	$1,590.54	$2,648.28