Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.69 / $2,663.12 / $3,625.00	Facility		$177.69	$2,663.12	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $198.93 / $400.60	Professional		$121.51	$198.93	$400.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $774.20 / $2,713.00	Facility		$308.00	$774.20	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $343.76 / $1,124.64	Professional		$167.64	$343.76	$1,124.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.80 / $235.04 / $414.76	Facility		$180.80	$235.04	$414.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.35 / $371.16 / $591.54	Professional		$245.35	$371.16	$591.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $313.13 / $657.29	Professional		$175.55	$313.13	$657.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $156.43 / $329.66 / $6,679.00	Facility		$156.43	$329.66	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $331.12 / $457.07	Professional		$262.37	$331.12	$457.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $401.47 / $643.83	Professional		$189.64	$401.47	$643.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $239.44 / $437.13 / $1,709.20	Professional		$239.44	$437.13	$1,709.20
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.92 / $325.51 / $642.36	Professional		$188.92	$325.51	$642.36