Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,484.55	Professional		$1,427.45	$1,427.45	$1,484.55
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $4,163.87 / $6,444.03	Facility		$1,427.45	$4,163.87	$6,444.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $6,444.03	Professional		$1,427.45	$1,427.45	$6,444.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $2,141.17 / $8,090.00	Facility		$1,427.45	$2,141.17	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.42 / $2,001.42 / $2,354.61	Professional		$2,001.42	$2,001.42	$2,354.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,898.78 / $1,898.78 / $6,444.03	Facility		$1,898.78	$1,898.78	$6,444.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $6,444.03	Professional		$1,427.45	$1,427.45	$6,444.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,536.21	Professional		$1,427.45	$1,427.45	$2,536.21