Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,286.78	Professional		$1,237.28	$1,237.28	$1,286.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,645.82 / $1,645.82 / $5,119.78	Facility		$1,645.82	$1,645.82	$5,119.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $5,119.78	Professional		$1,237.28	$1,237.28	$5,119.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,645.82 / $1,645.82 / $5,119.78	Facility		$1,645.82	$1,645.82	$5,119.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $5,119.78	Professional		$1,237.28	$1,237.28	$5,119.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $2,046.51	Professional		$1,237.28	$1,237.28	$2,046.51