Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $4,429.25	Facility		$3,264.00	$3,264.00	$4,429.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,264.00 / $3,762.00	Professional		$3,072.00	$3,264.00	$3,762.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $17,490.00 / $17,490.00	Facility		$3,960.00	$17,490.00	$17,490.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $14,592.00	Professional		$3,200.00	$3,200.00	$14,592.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,994.56 / $4,479.74 / $8,704.12	Facility		$3,994.56	$4,479.74	$8,704.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,866.58 / $2,804.54 / $8,090.00	Facility		$1,866.58	$2,804.54	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,427.20	Professional		$3,264.00	$3,264.00	$3,427.20
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $17,490.00 / $17,490.00	Facility		$3,960.00	$17,490.00	$17,490.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $14,592.00	Professional		$3,200.00	$3,200.00	$14,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,800.00	Professional		$3,200.00	$3,200.00	$4,800.00