Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,219.46	Professional		$1,172.56	$1,172.56	$1,219.46
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,559.73 / $1,559.73 / $3,375.00	Facility		$1,559.73	$1,559.73	$3,375.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $4,725.00	Professional		$1,172.56	$1,172.56	$4,725.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,761.77 / $8,090.00	Facility		$1,172.56	$1,761.77	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.89 / $1,720.89 / $2,024.58	Professional		$1,720.89	$1,720.89	$2,024.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,559.73 / $1,559.73 / $3,375.00	Facility		$1,559.73	$1,559.73	$3,375.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $4,725.00	Professional		$1,172.56	$1,172.56	$4,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.55 / $1,172.56 / $1,939.46	Professional		$1,151.55	$1,172.56	$1,939.46