Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $457.09	Facility		$60.26	$97.72	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $128.82	Professional		$64.57	$97.72	$128.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $245.47 / $323.59	Facility		$83.18	$245.47	$323.59
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $120.23	Professional		$97.72	$97.72	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $194.98	Facility		$97.72	$97.72	$194.98
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 $97.72 / $154.88 / $8,511.38	Facility		$97.72	$154.88	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $162.18	Professional		$83.18	$97.72	$162.18
Health New England Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $549.54 / $562.34	Facility		$83.18	$549.54	$562.34
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $245.47 / $323.59	Facility		$83.18	$245.47	$323.59
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $120.23	Professional		$97.72	$97.72	$120.23
Tufts Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $389.05	Facility		$36.31	$36.31	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $93.33 / $177.83	Facility		$83.18	$93.33	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $147.91	Professional		$95.50	$102.33	$147.91