Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $575.44	Facility		$169.82	$380.19	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $338.84	Professional		$89.13	$144.54	$338.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $537.03	Facility		$125.89	$194.98	$537.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $562.34	Professional		$77.62	$169.82	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $489.78	Facility		$269.15	$338.84	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $158.49	Professional		$120.23	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $331.13	Facility		$109.65	$190.55	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $446.68	Professional		$93.33	$162.18	$446.68
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $323.59	Professional		$169.82	$169.82	$323.59
Health New England Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $912.01	Facility		$123.03	$181.97	$912.01
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $537.03	Facility		$125.89	$194.98	$537.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $630.96	Professional		$77.62	$169.82	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $169.82	Facility		$102.33	$154.88	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $323.59	Professional		$77.62	$128.82	$323.59