Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $61.66 / $83.18	Facility		$58.88	$61.66	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $251.19	Professional		$83.18	$85.11	$251.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $213.80 / $281.84	Facility		$85.11	$213.80	$281.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $131.83	Professional		$85.11	$85.11	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $186.21	Facility		$95.50	$95.50	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
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 $141.25 / $141.25 / $165.96	Professional		$141.25	$141.25	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $144.54	Professional		$74.13	$87.10	$144.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $331.13	Facility		$302.00	$316.23	$331.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $213.80 / $281.84	Facility		$85.11	$213.80	$281.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $131.83	Professional		$85.11	$85.11	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $281.84	Facility		$131.83	$213.80	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $131.83	Professional		$85.11	$123.03	$131.83