Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,151.21	Professional		$2,068.46	$2,068.46	$2,151.21
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $2,825.40 / $6,648.00	Facility		$2,825.40	$2,825.40	$6,648.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $12,631.20	Professional		$2,068.46	$2,068.46	$12,631.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $2,895.86 / $8,090.00	Facility		$1,909.00	$2,895.86	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Professional		$2,068.46	$2,068.46	$2,068.46
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $2,825.40 / $6,648.00	Facility		$2,825.40	$2,825.40	$6,648.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $12,631.20	Professional		$2,068.46	$2,068.46	$12,631.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,421.33	Professional		$2,068.46	$2,068.46	$3,421.33