Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $115.47 / $115.47	Facility		$115.47	$115.47	$115.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $80.95 / $115.69	Professional		$27.40	$80.95	$115.69
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $76.92 / $138.88 / $284.16	Facility		$76.92	$138.88	$284.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $199.74 / $391.09	Professional		$76.92	$199.74	$391.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $45.90 / $48.35	Professional		$41.10	$45.90	$48.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $241.00 / $318.70	Professional		$127.96	$241.00	$318.70
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $284.16 / $284.16	Facility		$119.59	$284.16	$284.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $391.09 / $391.09 / $391.09	Professional		$391.09	$391.09	$391.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $54.00 / $98.00	Professional		$15.00	$54.00	$98.00