Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,048.67	Professional		$1,969.89	$1,969.89	$2,048.67
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,620.33 / $2,620.33 / $5,402.40	Facility		$2,620.33	$2,620.33	$5,402.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $10,264.56	Professional		$1,969.89	$1,969.89	$10,264.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $2,867.00 / $8,090.00	Facility		$1,909.00	$2,867.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,620.33 / $2,620.33 / $5,402.40	Facility		$2,620.33	$2,620.33	$5,402.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $10,264.56	Professional		$1,969.89	$1,969.89	$10,264.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $3,258.28	Professional		$1,969.89	$1,969.89	$3,258.28