Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $407.38	Professional		$190.55	$190.55	$407.38
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $630.96	Facility		$190.55	$524.81	$630.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $229.09	Professional		$169.82	$190.55	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $8,511.38	Facility		$190.55	$302.00	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $346.74	Professional		$162.18	$190.55	$346.74
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $630.96	Facility		$190.55	$524.81	$630.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $229.09	Professional		$169.82	$190.55	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $346.74	Facility		$162.18	$181.97	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $251.19	Professional		$169.82	$204.17	$251.19