Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,224.00 / $1,224.00	Professional		$1,152.00	$1,224.00	$1,224.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $1,368.00 / $2,880.00	Facility		$1,368.00	$1,368.00	$2,880.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $5,472.00	Professional		$1,200.00	$1,200.00	$5,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $386.49 / $386.49	Professional		$386.49	$386.49	$386.49
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $1,368.00 / $2,880.00	Facility		$1,368.00	$1,368.00	$2,880.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $5,472.00	Professional		$1,200.00	$1,200.00	$5,472.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $1,200.00 / $1,984.85	Professional		$386.49	$1,200.00	$1,984.85