Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,510.34	Professional		$1,452.25	$1,452.25	$1,510.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $6,878.66	Facility		$2,550.00	$2,550.00	$6,878.66
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $6,878.66	Professional		$1,452.25	$1,452.25	$6,878.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $2,178.38 / $8,090.00	Facility		$1,452.25	$2,178.38	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,373.88 / $2,373.88 / $2,792.80	Professional		$2,373.88	$2,373.88	$2,792.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $2,550.00 / $6,878.66	Facility		$2,550.00	$2,550.00	$6,878.66
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $6,878.66	Professional		$1,452.25	$1,452.25	$6,878.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $2,549.86	Professional		$1,452.25	$1,452.25	$2,549.86