Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,448.84	Professional		$1,393.12	$1,393.12	$1,448.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $4,551.72	Facility		$2,340.00	$2,340.00	$4,551.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $8,190.00	Professional		$1,393.12	$1,393.12	$8,190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $2,089.67 / $8,090.00	Facility		$1,393.12	$2,089.67	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $4,551.72	Facility		$2,340.00	$2,340.00	$4,551.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $8,190.00	Professional		$1,393.12	$1,393.12	$8,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,304.28	Professional		$1,393.12	$1,393.12	$2,304.28