Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Facility		$2,979.56	$2,979.56	$2,979.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,098.74	Professional		$2,979.56	$2,979.56	$3,098.74
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,963.38 / $3,963.38 / $8,103.21	Facility		$3,963.38	$3,963.38	$8,103.21
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $10,669.23	Professional		$2,979.56	$2,979.56	$10,669.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Facility		$2,979.55	$2,979.55	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.00 / $3,873.43 / $8,090.00	Facility		$1,909.00	$3,873.43	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,963.38 / $3,963.38 / $8,103.21	Facility		$3,963.38	$3,963.38	$8,103.21
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $10,669.23	Professional		$2,979.56	$2,979.56	$10,669.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,855.38 / $2,979.56 / $4,469.34	Professional		$2,855.38	$2,979.56	$4,469.34