Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $98.56	Facility		$49.28	$49.28	$98.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $51.25 / $56.29	Professional		$49.28	$51.25	$56.29
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $17.75 / $163.26	Facility		$2.76	$17.75	$163.26
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $62.34	Professional		$49.28	$49.28	$62.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $62.88 / $134.04	Facility		$52.88	$62.88	$134.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Facility		$49.28	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $83.43 / $8,090.00	Facility		$53.00	$83.43	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $104.47	Professional		$49.28	$49.28	$104.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $170.63	Facility		$75.00	$75.00	$170.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $73.92	Professional		$49.28	$49.28	$73.92
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $73.92	Professional		$49.28	$49.28	$73.92