Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,269.90 / $1,269.90	Professional		$1,195.20	$1,269.90	$1,269.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $1,602.00 / $2,988.00	Facility		$1,602.00	$1,602.00	$2,988.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $5,677.20	Professional		$1,245.00	$1,245.00	$5,677.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
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 $291.27 / $291.27 / $291.27	Professional		$291.27	$291.27	$291.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $1,602.00 / $2,988.00	Facility		$1,602.00	$1,602.00	$2,988.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $5,677.20	Professional		$1,245.00	$1,245.00	$5,677.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.50 / $1,245.00 / $2,059.28	Professional		$1,120.50	$1,245.00	$2,059.28