Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,095.00	Professional		$1,052.89	$1,052.89	$1,095.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,400.54 / $1,400.54 / $1,688.59	Facility		$1,400.54	$1,400.54	$1,688.59
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $2,642.15	Professional		$1,052.89	$1,052.89	$2,642.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Facility		$1,052.89	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,581.97 / $8,090.00	Facility		$1,052.89	$1,581.97	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,400.54 / $1,400.54 / $1,688.59	Facility		$1,400.54	$1,400.54	$1,688.59
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $2,642.15	Professional		$1,052.89	$1,052.89	$2,642.15
United Facility/Professional Professional Modifier Low / Median / High Price $947.60 / $1,052.89 / $1,741.52	Professional		$947.60	$1,052.89	$1,741.52