Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.84 / $123.84 / $123.84	Facility		$123.84	$123.84	$123.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $123.84 / $148.61	Professional		$119.16	$123.84	$148.61
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $162.28 / $224.65 / $1,374.08	Facility		$162.28	$224.65	$1,374.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $171.16 / $213.95	Professional		$92.61	$171.16	$213.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.28 / $174.27 / $252.36	Facility		$162.28	$174.27	$252.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $384.38	Professional		$22.19	$174.27	$384.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $208.60 / $208.60	Professional		$208.60	$208.60	$208.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $162.28 / $192.27	Professional		$162.28	$162.28	$192.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,374.08 / $1,374.08	Facility		$100.00	$1,374.08	$1,374.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $136.16 / $185.21	Professional		$86.21	$136.16	$185.21
United Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $161.02 / $214.77	Professional		$90.52	$161.02	$214.77