Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $988.00 / $2,900.00	Facility		$262.22	$988.00	$2,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $174.75 / $481.65	Professional		$118.51	$174.75	$481.65
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $588.62 / $2,713.00	Facility		$197.30	$588.62	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $253.47 / $855.78	Professional		$118.05	$253.47	$855.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $180.68 / $322.56	Facility		$140.61	$180.68	$322.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $249.47 / $455.87	Professional		$169.24	$249.47	$455.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $240.32 / $400.54	Professional		$153.00	$240.32	$400.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $256.39 / $8,090.00	Facility		$119.29	$256.39	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $208.28 / $286.27	Professional		$171.94	$208.28	$286.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $322.77 / $469.28	Professional		$155.76	$322.77	$469.28
Health New England Facility/Professional Facility Modifier Low / Median / High Price $473.10 / $650.51 / $2,053.60	Facility		$473.10	$650.51	$2,053.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $338.57 / $375.41	Professional		$198.80	$338.57	$375.41
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 $165.90 / $293.73 / $1,063.59	Professional		$165.90	$293.73	$1,063.59
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 $151.69 / $233.85 / $441.72	Professional		$151.69	$233.85	$441.72