Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,978.73	Professional		$1,902.62	$1,902.62	$1,978.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,530.84 / $2,530.84 / $6,650.73	Facility		$2,530.84	$2,530.84	$6,650.73
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $9,450.00	Professional		$1,902.62	$1,902.62	$9,450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $2,853.93 / $8,090.00	Facility		$1,902.62	$2,853.93	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3,390.92 / $3,390.92 / $3,989.31	Professional		$3,390.92	$3,390.92	$3,989.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,530.84 / $2,530.84 / $6,650.73	Facility		$2,530.84	$2,530.84	$6,650.73
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $9,450.00	Professional		$1,902.62	$1,902.62	$9,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $3,147.01	Professional		$1,902.62	$1,902.62	$3,147.01