Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,839.83	Professional		$3,692.14	$3,692.14	$3,839.83
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,911.24 / $4,911.24 / $8,289.69	Facility		$4,911.24	$4,911.24	$8,289.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $11,970.00	Professional		$3,692.14	$3,692.14	$11,970.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Facility		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $4,799.78 / $8,090.00	Facility		$1,909.00	$4,799.78	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $4,911.24 / $4,911.24 / $8,289.69	Facility		$4,911.24	$4,911.24	$8,289.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $11,970.00	Professional		$3,692.14	$3,692.14	$11,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $6,559.97	Professional		$3,692.14	$3,692.14	$6,559.97