Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $234.72	Facility		$117.36	$117.36	$234.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $122.05 / $140.63	Professional		$117.36	$122.05	$140.63
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $109.88 / $293.87 / $586.79	Facility		$109.88	$293.87	$586.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $117.36 / $148.46	Professional		$116.41	$117.36	$148.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $149.75 / $319.22	Facility		$125.93	$149.75	$319.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $185.16 / $8,090.00	Facility		$117.19	$185.16	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $243.73	Professional		$117.36	$117.36	$243.73
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $156.12 / $156.12 / $586.79	Facility		$156.12	$156.12	$586.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $117.36 / $176.04	Professional		$116.41	$117.36	$176.04
United Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $117.36 / $164.31	Professional		$116.41	$117.36	$164.31