Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $209.46	Facility		$104.73	$104.73	$209.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $108.92 / $125.94	Professional		$104.73	$108.92	$125.94
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $262.24 / $523.65	Facility		$91.64	$262.24	$523.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $132.47	Professional		$104.73	$104.73	$132.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $133.63 / $284.87	Facility		$112.38	$133.63	$284.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Facility		$104.73	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $165.82 / $8,090.00	Facility		$104.73	$165.82	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $217.50	Professional		$104.73	$104.73	$217.50
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $139.31 / $523.65	Facility		$139.31	$139.31	$523.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $157.10	Professional		$104.73	$104.73	$157.10
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $128.88	Professional		$104.73	$104.73	$128.88