Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,539.19 / $3,128.00 / $3,128.00	Professional		$2,539.19	$3,128.00	$3,128.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $3,496.00 / $3,900.80	Facility		$3,496.00	$3,496.00	$3,900.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $7,728.00	Professional		$3,200.00	$3,200.00	$7,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
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
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $764.67 / $764.67 / $899.62	Professional		$764.67	$764.67	$899.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $3,496.00 / $3,900.80	Facility		$3,496.00	$3,496.00	$3,900.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $7,728.00	Professional		$3,200.00	$3,200.00	$7,728.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,125.66 / $3,200.00 / $5,292.93	Professional		$3,125.66	$3,200.00	$5,292.93