Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $161.82	Facility		$80.91	$80.91	$161.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $84.15 / $96.90	Professional		$80.91	$84.15	$96.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $202.60 / $404.55	Facility		$75.04	$202.60	$404.55
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $80.91 / $102.35	Professional		$79.45	$80.91	$102.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $103.24 / $220.08	Facility		$86.82	$103.24	$220.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Facility		$80.91	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $127.59 / $8,090.00	Facility		$80.91	$127.59	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $168.03	Professional		$80.91	$80.91	$168.03
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $404.55	Facility		$107.63	$107.63	$404.55
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $80.91 / $121.37	Professional		$79.45	$80.91	$121.37
United Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $80.91 / $113.28	Professional		$72.81	$80.91	$113.28