Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $174.56	Facility		$87.28	$87.28	$174.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $90.78 / $104.33	Professional		$87.28	$90.78	$104.33
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $218.55 / $436.40	Facility		$76.34	$218.55	$436.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $110.41	Professional		$87.28	$87.28	$110.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $111.37 / $237.40	Facility		$93.65	$111.37	$237.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Facility		$87.28	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $137.90 / $8,090.00	Facility		$87.28	$137.90	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $181.26	Professional		$87.28	$87.28	$181.26
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $116.10 / $116.10 / $436.40	Facility		$116.10	$116.10	$436.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $130.91	Professional		$87.28	$87.28	$130.91
United Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $87.28 / $122.20	Professional		$78.55	$87.28	$122.20